Elizabeth Rainwater, MD

Individual provider Active NPI Family Medicine Physician · McLoud, OK

NPI 1851735658 · NPPES record last updated Jun 15, 2026

Key facts

NPI
1851735658
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
29908 (OK)
Practice address
105365 S Highway 102
McLoud, OK 74851-3051
Phone
(405) 964-2081
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150514000363 OK Order and Referring Only - Family Practice
Practitioner - Family Practice
6305166489

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kickapoo Tribal Health Center Past Accepting new patients
Summit Medical Center Past Accepting new patients
Kickapoo Tribal Health Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29908 OK Yes

Addresses

Primary practice location

105365 S Highway 102
McLoud, OK 74851-3051

Mailing address

105365 S Highway 102
McLoud, OK 74851-3051
Phone (405) 964-2081

Other providers in McLoud, OK

All providers in McLoud, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.