Rafel Tappouni, MD
Individual provider Active NPI Diagnostic Radiology Physician · Oak Ridge, NC
NPI 1124085246 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1124085246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2012-00166 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest Health Network LLC
Wake Forest Baptist Imaging LLC
The Milton S Hershey Medical Center Physicians Group
Wake Forest University Health Sciences
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
- North Carolina Baptist Hospital
- Milton S Hershey Medical Center
- High Point Regional Health System
- Wilkes Regional Medical Center
- Watauga Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000575 | PA | Practitioner - Diagnostic Radiology | 7214946706 | Reassigns benefits to 1 organization |
| I20140221001430 | NC | Practitioner - Diagnostic Radiology | 7214946706 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current |
Accepting new patients | |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Wake Forest Health Network, LLC | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Diagnostic Radiology | Current |
Accepting new patients |
| Wake Forest Baptist Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
Locations
223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731
223 W Ward St
#B
Asheboro, NC 27203
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
Interoperability endpoints
- rtappouni2754068@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD427572 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | ME129700 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 2012-00166 | NC | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q0016Q | Other | SC | SC MEDICAID |
| 1124085246 | Medicaid | NC | |
| 276988 | Other | NC | MEDCOST |
| 7985796 | Other | NC | AETNA |
| 1124085246 | Other | NC | TRICARE |
| 2603716 | Other | NC | UHC |
| 185FN | Other | NC | BCBS |
| 1124085246 | Other | VA | VIRGINIA MEDICAID |
| P01333821 | Other | NC | RAILROAD MEDICARE |
Other names
- Rafel F Raphael Tappouni
Other providers in Oak Ridge, NC
- Claire Cuthrell Slate
- Spring Hill Pediatric Therapies, LLC
- Hannah Kontoulas Stamey
- Adria Lenore Stewart
- Lori Jane Swanson
- Maria Singson Teup
- Robert K Thacker
- Tracy Lynn Thomas
- Lori Lynn Thompson
- Quyen Thuy Vo
All providers in Oak Ridge, NC · Diagnostic Radiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.