MR. MARVIN KEITH RAINWATER PA
NPI 1457310773
Physician Assistant in Shreveport, LA

Q: What is Marvin Rainwater's NPI number?

The NPI number for Marvin Rainwater is 1457310773. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is Marvin Rainwater's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marvin Rainwater was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2006PECOS Enrolled

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Nov 27, 2019 (2 updates tracked since 2019).

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About Mr. Marvin Keith Rainwater Pa NPPES

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

MR. MARVIN KEITH RAINWATER PA (NPI 1457310773) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (322314) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1457310773

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MARVIN KEITH RAINWATERCredential: PA

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822

Phone(318) 626-0000

Fax(318) 629-4833

Sole ProprietorNo

Enumeration DateMarch 23, 2006

Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1457310773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in LA · 322314

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1541 KINGS HWY, Shreveport, LA 71103

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Secondary Practice Location 1

Location 1105 Hanes Square CirWinston Salem, NC 27103-5514 · Phone (336) 441-5569 · Fax (336) 771-1907

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Marvin Keith Rainwater Pa 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem that may not require health care professional 99281

An Emergency Department visit for a mild problem involves seeking immediate medical attention for non-life-threatening conditions. These can include minor injuries, fevers, or persistent discomfort. Medical professionals will assess your condition, provide treatment, and may suggest follow-up care.

27 services24 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)