Jeffrey Kent Raines, MD, PHD

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

License

171950 Issued in FL

Practice address

9150 SW 87TH Ave
Suite 213
Miami, FL 33176-2319

Phone

(305) 595-4447

Fax

(305) 248-6320

NPI assigned

Apr 8, 2015

Reactivated

Aug 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Soteria Medical, LLC

  • Physiological Laboratory
  • Miami, FL
  • NPI 1427445345
  NPD (past) Authorized official

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1962898833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "305-595-4447",
            "fax_number": "305-248-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "305-595-4447",
            "fax_number": "305-248-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "deactivation_date": "2022-11-29",
        "reactivation_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "FL",
            "license": "171950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2086850",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REGISTRY OF DIAGNOSTIC MEDICAL SONOGRAPHERS",
            "identifier": "57079",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "171950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rainbow Minds Community Services LLC
• Rainbow Rehabilitation, Inc.
• Rainbow Sweet BX Therapy Corp
• Rainbow Wonders Kids Therapy Center LLC
• Quinn Carroll Rainer, STUDENT, HEALTHCARE
• Raining Smiles, LLC
• Raining Smiles, LLC
• Pierina Rainuzzo
• Michael Raisch, M.D.
• Raise Group Inc

• Cardiovascular Specialist/Technologist in Miami, FL
• Providers in Miami, FL by specialty
• Cardiovascular Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.