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MR. JEREMY MICHAEL RAULIE PAC NPI 1538113105


NPI Information

NPI: 1538113105
Provider Name: MR. JEREMY MICHAEL RAULIE, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2446 RESEARCH PKWY
SUITE 200
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 623-1050
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MR. Jeremy Michael Raulie, PAC is a surgical physician assistant in Colorado Springs, CO with 21 years of experience. MR. Jeremy Michael Raulie, PAC NPI is 1538113105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2446 RESEARCH PKWY
SUITE 200
COLORADO SPRINGS, CO
ZIP 80920-087
Phone: (719) 623-1050
Fax: (719) 623-1052

The NPI 1538113105 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantCO1776COLORADONo
2363AM0700XPhysician AssistantMedicalCO1776COLORADONo
3363AS0400XPhysician AssistantSurgicalCO1776COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
146559043MEDICAIDCOLORADO
2P97735MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.