Individual provider Active NPI

E Darren Racht, PAC.

  • Medical Physician Assistant
  • Auburn, MA
National Provider Identifier
1811980790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01272 Issued in MA
Practice address
207 Southbridge St
Auburn, MA 01501-2548
Phone
(508) 832-7118
Fax
(508) 832-4758
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01272 MA Primary

Addresses

Primary practice location

207 Southbridge St
Auburn, MA 01501-2548

Mailing address

4 Green St
Westborough, MA 01580-0001
Phone (617) 417-8474

Other identifiers 1

IdentifierTypeStateIssuer
290001272MA01OtherCTANTHEM BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000758 MA Practitioner - Physician Assistant 6901856848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Dermatology PLLCGroup PAC ID 8820493547, 3 clinicians

Practice addresses (Care Compare)

100 MLK Jr Blvd
Suite 200
Worcester, MA 01608-1209
Phone (774) 389-0887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01272MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Allergy Care, P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811980790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GREEN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015800001",
            "telephone_number": "617-417-8474",
            "fax_number": "508-832-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012548",
            "telephone_number": "508-832-7118",
            "fax_number": "508-832-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHT",
        "first_name": "E",
        "middle_name": "DARREN",
        "name_prefix": "Mr.",
        "credential": "PAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "01272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "290001272MA01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

Verify at the official NPI Registry.