Racc Medical Associates LLC
NPI 1184976136 · Physical Medicine & Rehabilitation Physician · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1184976136
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Roth, Owner(260) 748-3650
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Summit Pain Management
Additional practice locations (4)
- 1314 E 7th St Ste 201Auburn, IN 46706-2533Phone: (260) 748-3650Fax: (260) 748-3651
- 6811 Lima RdFort Wayne, IN 46818-1145Phone: (260) 748-3650Fax: (260) 748-3651
- 330 N Wabash Ave Ste 410Marion, IN 46952-2782Phone: (260) 748-3650Fax: (260) 748-3651
- 2124 Biomet DriveWarsaw, IN 46582-7858Phone: (260) 748-3650Fax: (260) 748-3651
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.