Active NPI
Mark A Rauter, M.D.
- Surgery Physician
- Rockford, IL
National Provider Identifier
1982606745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036050137
- Practice address
- 2350 N Rockton Ave
Suite 510
Rockford, IL 61103-3600 - Phone
- (815) 971-2000
- Fax
- (815) 963-3428
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036050137 | IL | Primary |
Addresses
Primary practice location
2350 N Rockton Ave
Suite 510
Rockford, IL 61103-3600
Mailing address
2350 N Rockton Ave
Brain and Spine Center
Rockford, IL 61103-3619
Phone (815) 971-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036050137 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Northern Illinois | Surgery | Past | Accepting new patients |
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.
-
- Surgery Physician
- Rockford, IL
- NPI 1497736409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1982606745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 N ROCKTON AVE",
"address_2": "BRAIN AND SPINE CENTER",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033619",
"telephone_number": "815-971-2000",
"fax_number": "815-963-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N ROCKTON AVE",
"address_2": "SUITE 510",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033600",
"telephone_number": "815-971-2000",
"fax_number": "815-963-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUTER",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036050137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.