Shane Wyatt Rau, MD PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101239499 Issued in VA

Practice address

5483 Mooretown Rd
Williamsburg, VA 23188-2108

Phone

(757) 941-6400

Fax

(757) 941-6419

NPI assigned

Jun 29, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC, MO, WA4 enrollments

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 4

Specialty

Psychiatry

Education

University of Kentucky College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

Merit-based Incentive Payment System (MIPS)

Final score

88.96 of 100Reported as apm

Quality

69.5

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662

  VA

  Medicare reassignment Care Compare group NPD
• Douglas County Public Health Services Group, Inc.

  dba Missouri Ozarks Community Health

  • Federally Qualified Health Center (FQHC)
  • Mansfield, MO
  • NPI 1912904004
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Excelsior Family Medicine LLC

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1275179483
  Medicare reassignment
• Douglas County Public Health Services Group, Inc.

  dba Missouri Ozarks Community Health

  • Federally Qualified Health Center (FQHC)
  • Ava, MO
  • NPI 1912904145
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1720426067
  NPD
• Sarah Bush Lincoln Health Center

  dba FCH Greenville Family Medicine Clinic

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1811858970
  NPD
• Inpathy Behavioral Healthcare Group LLC

  • Psychiatry Physician
  • Marlton, NJ
  • NPI 1285099325
  NPD (past)
• Sarah Bush Lincoln Health Center

  dba SBL Physician Billing

  • Family Medicine Physician
  • Mattoon, IL
  • NPI 1568581379

  Psychiatry

  NPD (past)
• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  NPD (past)

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

• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1811925803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5483 MOORETOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882108",
            "telephone_number": "757-941-6400",
            "fax_number": "757-941-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5483 MOORETOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882108",
            "telephone_number": "757-941-6400",
            "fax_number": "757-941-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unc Chapel Hill Department Of Psychiatry",
            "address_2": "Campus Box 7160",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-8990",
            "fax_number": "919-966-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619202467",
            "country_code": "US",
            "telephone_number": "217-238-4042",
            "fax_number": "217-238-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAU",
        "first_name": "SHANE",
        "middle_name": "WYATT",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101239499",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2008-01020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036157408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khara J.B. Randall, LPC
• Vickie Randall, RPH
• Henry Kyle Ranger, PHARMD
• Jesse Donald Ranney, M.D.
• Alaina Christine Ratcliffe, RBT
• Glenn T Rauchwarg, D.O.
• Megan Kathleen Rauschenberger, MA CCC-SLP
• Reema Rawal, DDS
• Jane Paige Rawlings, FNP-C
• Anna Rayno, DC

• Psychiatry Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.