Glenn T Rauchwarg, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102050179 Issued in VA

Practice address

5424 Discovery Park Blvd
Suite 201
Williamsburg, VA 23188

Phone

(757) 345-2071

Fax

(757) 903-4877

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Home Care Services-Williamsburg Home health agency, Williamsburg, VA, CCN 497748
• Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
• Riverside Home Health Home health agency, Newport News, VA, CCN 497467
• Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
• Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
• Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  Medicare reassignment Care Compare group NPD
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD

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

• Riverside Hospital Inc

  dba Riverside Home Health

  • Home Health Agency
  • Newport News, VA
  • NPI 1801891023
  Care Compare affiliation Name & address match
• American Home Healthcare

  dba Commonwealth Home care

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1386277648
  Care Compare affiliation
• Doctors' Hospital of Williamsburg

  dba Riverside Doctors Hospital Williamsburg

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1275893307
  Care Compare affiliation
• Nine Palms 1, LLC

  dba Brookside Home Health, an Amedisys Company

  • Home Health Agency
  • Williamsburg, VA
  • NPI 1518912377
  Care Compare affiliation
• Riverside Hospital Inc

  dba Riverside Regional Medical Center

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation
• Sentara Enterprises

  • Home Health Agency
  • Williamsburg, VA
  • NPI 1750829164
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Careplex Hospital

  • General Acute Care Hospital
  • Hampton, VA
  • NPI 1336109107
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Williamsburg Regional Medical Center

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1619938149
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1851366959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BLVD",
            "address_2": "SUITE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-345-2071",
            "fax_number": "757-903-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCHWARG",
        "first_name": "GLENN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102050179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010114349",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Randall, RPH
• Henry Kyle Ranger, PHARMD
• Jesse Donald Ranney, M.D.
• Alaina Christine Ratcliffe, RBT
• Shane Wyatt Rau, MD PHD
• Megan Kathleen Rauschenberger, MA CCC-SLP
• Reema Rawal, DDS
• Jane Paige Rawlings, FNP-C
• Anna Rayno, DC
• Reach for Performance, Inc.

• Family Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.