JACQUELINE RAUSA D.O.
NPI 1366861312
Pediatrics - Pediatric Critical Care Medicine in New York, NY
About Jacqueline Rausa D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE RAUSA D.O. (NPI 1366861312) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (317223) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Rausa D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jacqueline Rausa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Norfolk, VA 23507
- Reassigned Medicare billing, Virginia enrollment
- 549 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Jacqueline Rausa's NPI number?
The NPI number for Jacqueline Rausa is 1366861312. It was assigned to this individual provider in the NPPES registry on April 7, 2014.
Where is Jacqueline Rausa located?
Jacqueline Rausa practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5827.
What is Jacqueline Rausa's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Jacqueline Rausa enrolled in Medicare?
Yes. Jacqueline Rausa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Rausa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Rausa reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), North Shore-Lij Medical PC (Great Neck, NY) and Childrens Specialty Group PLLC (Norfolk, VA). Each 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 Jacqueline Rausa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Rausa was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Jacqueline Rausa, D.O. · NPI 1366861312
Pediatric Critical Care Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 7, 2014.
## Identity
- **NPI:** 1366861312 (Entity type: Individual)
- **Enumerated:** April 7, 2014
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 317223 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, New York, NY 10032-1559
- **Phone:** (212) 305-5827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Childrens Specialty Group PLLC (NPI 1255354130, Norfolk, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366861312) · Data from the CMS NPPES public registry.