Individual provider Active NPI

Rafel Tappouni, MD

  • Diagnostic Radiology Physician
  • Oak Ridge, NC
National Provider Identifier
1124085246
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2012-00166 Issued in NC
Practice address
1796 Ridge Oaks Dr
Oak Ridge, NC 27310-8714
Phone
(813) 745-7365
Fax
(813) 449-8618
NPI assigned
May 1, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD427572 PA
Diagnostic Radiology Physician 2085R0202X ME129700 FL
Diagnostic Radiology Physician 2085R0202X 2012-00166 NC Primary

Addresses

Primary practice location

1796 Ridge Oaks Dr
Oak Ridge, NC 27310-8714

Mailing address

PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-7365

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Other practice location 2

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other names 1

  • Rafel F Raphael Tappouni Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060411000575 PA Practitioner - Diagnostic Radiology 7214946706 Reassigns benefits to 1 organization
I20140221001430 NC Practitioner - Diagnostic Radiology 7214946706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians
Wake Forest Baptist Imaging LLCGroup PAC ID 3173681681, 76 clinicians

Practice addresses (Care Compare)

1814 Westchester Dr
Suite 100
High Point, NC 27262-7369
Phone (336) 802-2175

265 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone (336) 765-5722

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129700FLMDDiagnostic Radiology Physician
2012-00166NCMDDiagnostic Radiology Physician
MD427572PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Feb 17, 2014 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2025 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Feb 17, 2014 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Wake Forest Baptist Imaging LLC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Feb 17, 2014 Accepting new patients

Locations

223 W Ward St
#B
Asheboro, NC 27203

223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

Interoperability endpoints

  • Direct secure messaging: rtappouni2754068@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1124085246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848441",
            "telephone_number": "813-745-7365",
            "fax_number": "813-449-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 RIDGE OAKS DR",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273108714",
            "telephone_number": "813-745-7365",
            "fax_number": "813-449-8618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPPOUNI",
        "first_name": "RAFEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD427572",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME129700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2012-00166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFEL",
            "last_name": "TAPPOUNI",
            "middle_name": "F RAPHAEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Ridge, NC

Sources for this page

Verify at the official NPI Registry.