Active NPI
Matthew Rainwater, M.D.
- General Practice Physician
- Fresno, CA
National Provider Identifier
1881044873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A153321
- Practice address
- 6113 N Fresno St Ste 101
Fresno, CA 93710-8622 - Phone
- (559) 438-2777
- Fax
- (559) 438-4117
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301110054 | MI | |
| General Practice Physician | 208D00000X | A153321 | CA | Primary |
Addresses
Primary practice location
6113 N Fresno St Ste 101
Fresno, CA 93710-8622
Mailing address
1832 E Bella Senterio Ave
Fresno, CA 93730-7038
Phone (559) 250-7297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301110054 | MI | MD | Surgery Physician |
| A153321 | CA | MD | General Practice Physician |
Organizations & group practices 1
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.
-
- Urology Physician
- Fresno, CA
- NPI 1952417438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1881044873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 E BELLA SENTERIO AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937307038",
"telephone_number": "559-250-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6113 N FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108622",
"telephone_number": "559-438-2777",
"fax_number": "559-438-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINWATER",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301110054",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A153321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Rainbow Ranch Equine Therapuetic Center
- Robbie Arlene Raines, FNP-C
- Corina Eileen Rains, LMFT
- Raintree Convalescent Hospital, Inc
- Harold Greg Rainwater, M.D.
- Raj Translinex Inc
- Ramachandran Rajagopalan, M. D.
- Vikram Puthenveetil Rajan
- Krishnakumar B Rajani, M.D.
- Raji Haddad D.D.S. Inc. Dba First Family Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.