SUMMIT PAIN MANAGEMENT
NPI 1184976136
Physical Medicine & Rehabilitation in Fort Wayne, IN
About Summit Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT PAIN MANAGEMENT (NPI 1184976136) is a healthcare organization registered as a physical medicine & rehabilitation in Fort Wayne, Indiana and active in the NPI registry since October 2012. The organization holds a CLIA Certificate of Compliance certificate valid through January 15, 2028, maintains 4 additional practice locations, and lists Daniel C Roth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 4
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Summit Pain Management, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 15D2066048
Summit Pain Management · Fort Wayne, INFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Racc Medical Associates LLC's NPI number?
The NPI number for Racc Medical Associates LLC is 1184976136. It was assigned to this organization in the NPPES registry on October 15, 2012. The provider is doing business as Summit Pain Management.
Where is Racc Medical Associates LLC located?
Racc Medical Associates LLC is located at 1721 Magnavox Way, Fort Wayne, IN 46804. The listed phone number is (260) 748-3650.
What is Racc Medical Associates LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Racc Medical Associates LLC enrolled in Medicare?
Yes. Racc Medical Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Racc Medical Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Racc Medical Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Anesthesiology (5) and Physical Medicine and Rehabilitation (1). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Racc Medical Associates LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 15D2066048) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Racc Medical Associates LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Racc Medical Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Racc Medical Associates LLC was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.