MR. KEVIN WILLIAM RAUCHUT JR. NP-C
NPI 1578084547
Nurse Practitioner - Adult Health in Los Angeles, CA

Q: What is Kevin Rauchut's NPI number?

The NPI number for Kevin Rauchut is 1578084547. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Kevin Rauchut's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Rauchut was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 29, 2017PECOS Enrolled

5901 W OLYMPIC BLVD STE 310, LOS ANGELES, CA 90036(323) 215-1725(323) 205-3867 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2020, Apr 16, 2019, Oct 10, 2018 and 1 more (4 updates tracked since 2017).

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About Mr. Kevin William Rauchut Jr. Np-c NPPES

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

MR. KEVIN WILLIAM RAUCHUT JR. NP-C (NPI 1578084547) is an individual adult health provider in Los Angeles, California, licensed in California (95006830) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578084547

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. KEVIN WILLIAM RAUCHUT JR.Credential: NP-C

Location Address5901 W OLYMPIC BLVD STE 310Los Angeles, CA 90036-4664

Mailing Address5901 W Olympic Blvd Ste 310Los Angeles, CA 90036-4664 · (323) 215-1725 · Fax (323) 205-3867

Phone(323) 215-1725

Fax(323) 205-3867

Sole ProprietorYes

Enumeration DateJune 29, 2017

Last NPPES UpdateAugust 6, 20204 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1578084547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 95006830

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95006830 (CA)

5901 W OLYMPIC BLVD STE 310, Los Angeles, CA 90036

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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)

Mr. Kevin William Rauchut Jr. Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90036 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW DAVID DIEBLER AMFT

Marriage & Family Therapist