Individual provider Active NPI

Kate Bendon Raphael, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1154459485
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32222 Issued in CO
Practice address
2550 Tenderfoot Hill St
Colorado Springs, CO 80906-3998
Phone
(719) 633-3400
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32222 CO Primary

Addresses

Primary practice location

2550 Tenderfoot Hill St
Colorado Springs, CO 80906-3998

Mailing address

2550 Tenderfoot Hill St
Colorado Springs, CO 80906-3998
Phone (719) 633-3400

Other names 1

  • Dr. Kathleen Bendon Raphael Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32222COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Springs Hospital, Inc Family Medicine CurrentSince Jul 20, 2020 Accepting new patients
Cedar Springs Hospital, Inc CurrentSince Jul 20, 2020 Accepting new patients
Uch-MHS Past Accepting new patients
Memorial Health System Family Medicine Past Accepting new patients

Locations

2135 Southgate Rd
Colorado Springs, CO 80906
Phone (719) 329-5353

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1154459485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 TENDERFOOT HILL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063998",
            "telephone_number": "719-633-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 TENDERFOOT HILL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063998",
            "telephone_number": "719-633-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "KATE",
        "middle_name": "BENDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "RAPHAEL",
            "middle_name": "BENDON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.