1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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

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 and is a graduate of Other (2017).

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
Medical School CMSOtherGraduated 2017
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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).

PECOS PAC ID7911249917
PECOS Enrollment IDI20260820000645
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Rauchut reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apla Health & Wellness
Same address
Federally Qualified Health Center (FQHC)
5901 W OLYMPIC BLVD., SUITE 310
Los Angeles, CA 90036
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1790202968 (323) 215-1725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7

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

MATTHEW DAVID DIEBLER AMFT
Marriage & Family Therapist
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725
DR. JAY E GLADSTEIN M.D.
Internal Medicine (Infectious Disease)
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725
MARISSA FOX MD
Internal Medicine
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725
MS. CAROLINE LEE BELIN NP-C
Nurse Practitioner
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725
DR. WAYNE HO M.D.
Internal Medicine
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725
DR. ARTHUR VERMEULEN MD
Internal Medicine
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725
MICHELLE MINA RASTEGAR M.D.
Preventive Medicine (Addiction Medicine)
5901 W OLYMPIC BLVD STE 310
LOS ANGELES, CA 90036
Los Angeles County (323) 215-1725

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 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.

Where is Kevin Rauchut located?

Kevin Rauchut practices at 5901 W Olympic Blvd Ste 310, Los Angeles, CA 90036. The listed phone number is (323) 215-1725.

What is Kevin Rauchut's specialty?

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

Is Kevin Rauchut enrolled in Medicare?

Yes. Kevin Rauchut is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Rauchut's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Rauchut reassigns Medicare benefits to Apla Health & Wellness (Los Angeles, CA). The 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 Kevin Rauchut'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 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.