David G. Raffo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301076928 Issued in MI

Practice address

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315-8288

Phone

(616) 635-6050

NPI assigned

Dec 29, 2005

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Hospice

  dba Hospice of Holland Home and Faith Hospice at Trillium Woods

  • Community Based Hospice Care Agency
  • Byron Center, MI
  • NPI 1790739282

  Family Medicine

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  Medicare reassignment NPD
• David G. Raffo MD PLLC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1952688350
  NPD (past) Authorized official
• Faith Palliative Care

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
  • NPI 1497014476
  NPD
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Family Medicine

  NPD (past)
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1063499291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 PFEIFFER FARMS DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158288",
            "telephone_number": "616-635-6050",
            "fax_number": "616-235-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 PFEIFFER FARMS DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158288",
            "telephone_number": "616-635-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFO",
        "first_name": "DAVID",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4795234",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Prieur, BCBA
• Pro-Active Counseling LLC
• Professional Financial Services (Saint Mary's Urgent Care Plus)
• Becky Purkaple, MD
• Rachel Elaine Quist, PA
• Railside Assisted Living Center
• Marsha Ray, PA-C
• Makayla Lynn Read
• Ready Ride Michigan LLC
• Ready Ride Transportation LLC (Ready Ride Grand Rapids LLC)

• Family Medicine Physician in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.