DR. ROSS MICHAEL RAEDEKE MD
NPI 1285577965
Student in an Organized Health Care Education/Training Program in Lubbock, TX
About Dr. Ross Michael Raedeke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROSS MICHAEL RAEDEKE MD (NPI 1285577965) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ross Michael Raedeke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUBBOCK, TX 79430
Frequently 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 Ross Raedeke's NPI number?
The NPI number for Ross Raedeke is 1285577965. It was assigned to this individual provider in the NPPES registry on April 9, 2026.
Where is Ross Raedeke located?
Ross Raedeke practices at 3601 4th St Stop Ms 7217, Lubbock, TX 79430. The listed phone number is (806) 543-7150.
What is Ross Raedeke's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ross Raedeke enrolled in Medicare?
Yes. Ross Raedeke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ross Raedeke was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Ross Michael Raedeke, MD · NPI 1285577965
Student in an Organized Health Care Education/Training Program provider in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since April 9, 2026.
## Identity
- **NPI:** 1285577965 (Entity type: Individual)
- **Enumerated:** April 9, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 4TH ST STOP MS 7217, Lubbock, TX 79430-0002
- **Phone:** (806) 543-7150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285577965) · Data from the CMS NPPES public registry.