Rafael Christopher Haciski, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME86280 Issued in FL

Practice address

671 Goodlette Rd N
Suite 230
Naples, FL 34102-5469

Phone

(239) 692-9699

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Obstetrics/Gynecology

Education

Emory University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Advanced Gynecology Inc

  • Gynecology Physician
  • Naples, FL
  • NPI 1013238153
  Medicare reassignment NPD Authorized official
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Anchor Health Centers PA

  • Family Medicine Physician
  • Naples, FL
  • NPI 1174571608

  Gynecology

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1235212267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 GOODLETTE RD N",
            "address_2": "SUITE 230",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025469",
            "telephone_number": "239-692-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 GOODLETTE RD N",
            "address_2": "SUITE 230",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025469",
            "telephone_number": "239-692-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14710 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336132800",
            "country_code": "US",
            "telephone_number": "813-684-2229",
            "fax_number": "813-816-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACISKI",
        "first_name": "RAFAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME86280",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME86280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley N Haas, MD
• John Haas, D.C.
• Roksolana Habal, MD
• Lili Habib
• Daniel L Hachey, O.D.
• Sandi Hack, MSW
• Haddad Internal Medicine
• Robert M Haddad, MD
• Tyson Scott Haderlie, CRNA
• James A Hadley, MD

• Gynecology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.