Active NPI
Haya Raef
- Dermatology Physician
- Atlanta, GA
National Provider Identifier
1205416336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 114480
- Practice address
- 1820 Peachtree St NW Unit 1407
Atlanta, GA 30309-8402 - Phone
- (207) 766-1408
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 114480 | GA | Primary |
Addresses
Primary practice location
1820 Peachtree St NW Unit 1407
Atlanta, GA 30309-8402
Mailing address
145 Harrison Ave
Boston, MA 02111-1802
Phone (207) 766-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721002560 | GA | Order and Referring Only - Dermatology | 3072973031 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- haya.raef.1@19580.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1205416336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111802",
"telephone_number": "207-766-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 PEACHTREE ST NW UNIT 1407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303098402",
"telephone_number": "207-766-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAEF",
"first_name": "HAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "114480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.