Rafael Jorge Fornaris, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M5165 Issued in TX

Practice address

434 NW Loop 1604
Suite 1204
San Antonio, TX 78232

Phone

(210) 946-6677

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geoff R Weikle DO PLLCGroup PAC ID 8820497480, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospice Hospice, San Antonio, TX, CCN 741591
• Hope Hospice Hospice, New Braunfels, TX, CCN 451522
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
• Methodist Stone Oak Hospital Inpatient rehabilitation facility, San Antonio, TX, CCN 67T055
• Sonterra Health Center Nursing home, San Antonio, TX, CCN 676158

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEHECD/Endpoint/IEHECD

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

• Geoff R Weikle DO PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1184298481
  Medicare reassignment Care Compare group NPD
• Rafael J. Fornaris, M.D., P.a.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1578708947
  NPD Authorized official
• Methodist Healthcare System of San Antonio LTD LLP

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Echo Hospice LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1902280746
  Care Compare affiliation
• Guadalupe County Hospital Board

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1801257779

  Nursing home

  Care Compare affiliation
• Hope Hospice

  • Community Based Hospice Care Agency
  • New Braunfels, TX
  • NPI 1982765244
  Care Compare affiliation
• Methodist Healthcare System of San Antonio LTD LLP

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • Rehabilitation Hospital Unit
  • San Antonio, TX
  • NPI 1003328113

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1083742829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 CELESTIAL VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604374",
            "telephone_number": "210-833-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 NW LOOP 1604",
            "address_2": "SUITE 1204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-946-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNARIS",
        "first_name": "RAFAEL",
        "middle_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Glenn Forister, PA-C
• Conrad Thomas Forkheim, RBT
• Danielle Forland
• Caroline Kittrell Forman, CNP
• Kelly J Formanek, COTA
• Darla Ann Forney, B.S., RKT
• Travis Forney, PA-C
• Peter S. Fornos, MD
• Sarah Ann Forren, MA, LPC
• Victoria Forrest, CSFA

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.