Individual provider Active NPI

Ryan D. Rainer, M.D.

  • Family Medicine Physician
  • Centre, AL
National Provider Identifier
1811916620
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23683 Issued in AL
Practice address
395 Northwood Dr
Centre, AL 35960-1045
Phone
(256) 927-4900
Fax
(256) 927-9151
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23683 AL Primary

Addresses

Primary practice location

395 Northwood Dr
Centre, AL 35960-1045

Mailing address

395 Northwood Dr
Centre, AL 35960-1045
Phone (256) 927-9162

Other identifiers 3

IdentifierTypeStateIssuer
051557530MedicaidAL
510-03581OtherALBCBS
541388607MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000405 AL Practitioner - Family Practice 3870503097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Family Medical Associates of Alabama, LLCGroup PAC ID 2163879776, 18 clinicians

Practice addresses (Care Compare)

30762 State Hwy 181
Spanish Fort, AL 36527-5672
Phone (251) 444-1999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23683ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates, LLC Family Medicine CurrentSince Dec 10, 2022 Accepting new patients
National Family Medical Associates of Alabama, LLC CurrentSince Nov 1, 2023 Accepting new patients
Centre RHC Corp Family Medicine Past Accepting new patients

Locations

1304 13th Ave SE
Decatur, AL 35601
Phone (256) 355-9711

151 Fly Creek Ave
Ste 411
Fairhope, AL 36532
Phone (251) 929-8490

3942 Government Blvd
Mobile, AL 36693
Phone (251) 460-1103

30762 State Highway 181
Spanish Fort, AL 36527
Phone (251) 444-1999

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • Direct secure messaging: ryan.rainer@vt.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1811916620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601045",
            "telephone_number": "256-927-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601045",
            "telephone_number": "256-927-4900",
            "fax_number": "256-927-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINER",
        "first_name": "RYAN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557530",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-03581",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541388607",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.