GARY RABENOLD MD
NPI 1073215778
Student in an Organized Health Care Education/Training Program in Kissimmee, FL

Q: What is Gary Rabenold's NPI number?

The NPI number for Gary Rabenold is 1073215778. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Gary Rabenold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Rabenold was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS Enrolled

700 W OAK ST, KISSIMMEE, FL 34741(407) 846-2266 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gary Rabenold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY RABENOLD MD (NPI 1073215778) is an individual student in an organized health care education/training program in Kissimmee, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073215778

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGARY RABENOLDCredential: MD

Location Address700 W OAK STKissimmee, FL 34741-4924

Mailing Address720 W Oak St Ste 201Kissimmee, FL 34741-4998 · (407) 518-2702

Phone(407) 846-2266

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 18, 2023

✔ NPI 1073215778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

700 W OAK ST, Kissimmee, FL 34741

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Rabenold Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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