Raphael Health Center Inc

A Medicare group practice based in Indianapolis, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486562659), with 39 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486562659The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
IN
Enrollments
4
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20021205000023 IN Part A Provider - Federally Qualified Health Center (FQHC) 1487764759
O20041227000466 IN Part B Supplier - Clinic/Group Practice 1487764759
O20240920001563 IN Part B Supplier - Pharmacy 1194582221
O20230824003338 IN Part A Provider - Federally Qualified Health Center (FQHC) 1881383420

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 39

Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (13).

Sources for this page