Paul Varastad Raphaelian, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

4301066043 Issued in MI

Practice address

5957 Harvey St
100
Norton Shores, MI 49444-9737

Phone

(231) 733-7832

Fax

(231) 733-2666

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 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

Specialty

Ophthalmology

Education

Rush Medical College of Rush University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as group

Quality

91.39

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: praphaelian@arcmi.intellechartdirect.net
• Direct secure messaging: praphaelian37393@direct.trinity-health.org

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.

• Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Royal Oak, MI
  • NPI 1215003793
  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1659326031
  NPD (past)
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)

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

• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1164450201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL",
            "address_2": "200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755331",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 HARVEY ST",
            "address_2": "100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449737",
            "telephone_number": "231-733-7832",
            "fax_number": "231-733-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAELIAN",
        "first_name": "PAUL",
        "middle_name": "VARASTAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301066043",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301066043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "praphaelian@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "5957 Harvey St",
            "address_2": "100",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494449737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Jean Quinn
• Devinderpal Rai, DDS
• Randy J Kovicak, DDS, PLLC
• Randy L Bisping DDS Ms PC
• Kelsey Sue Rankin
• Rebel PT & Wellness, PLLC
• Emily Reed, BCBA
• Mark Reider
• Renae L Crozier
• Resurging Pathways Collective LLC

• Retina Specialist (Ophthalmology) Physician in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Retina Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.