Individual provider Active NPI

Rafael Lao, M.D.

  • Nephrology Physician
  • Vincennes, IN
National Provider Identifier
1265477053
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01042614A Issued in IN
Practice address
700 Willow St Ste 100
Vincennes, IN 47591-1029
Phone
(812) 882-6416
Fax
(812) 882-8620
NPI assigned
Jun 17, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01042614A IN Primary

Addresses

Primary practice location

700 Willow St Ste 100
Vincennes, IN 47591-1029

Mailing address

4225 Lincolnshire Dr Ste B
Mount Vernon, IL 62864-2157
Phone (812) 882-6416

Other practice location 1

520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 882-6124

Other practice location 2

1302 E Main St Unit G
Robinson, IL 62454-3753
Phone (812) 882-6124

Other practice location 3

700 Willow St Ste 101
Vincennes, IN 47591-1029
Phone (812) 882-6124

Other practice location 4

1215 N Allen St
Robinson, IL 62454-1100
Phone (812) 882-6124

Other practice location 5

303 NW 11TH St Ste 1
Fairfield, IL 62837-1203
Phone (812) 882-6124

Other practice location 6

310 NE 14th St
Washington, IN 47501-2137
Phone (812) 882-6124

Other practice location 7

117 N Boone St
Olney, IL 62450-2109
Phone (812) 882-6124

Other identifiers 1

IdentifierTypeStateIssuer
100384200BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100120000341 IN Practitioner - Nephrology 3678592086 Receives reassigned benefits from 1 practitioner
Practice locations: Vincennes, IN; Washington, IN
I20101202000826 IL Practitioner - Nephrology 3678592086 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, IL; Robinson, IL

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University Central del Caribe Escuela de Medicina, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1215 N Allen St
Robinson, IL 62454-1100
Phone (618) 544-7092

303 NW 11TH St
Suite 1
Fairfield, IL 62837-1203
Phone (618) 842-7204

520 S 7TH St
Vincennes, IN 47591-1038
Phone (618) 318-8416

700 Willow St
Suite 100
Vincennes, IN 47591-1029
Phone (812) 882-6416

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc Current Accepting new patients
Total Renal Care Inc Past Accepting new patients
Renal Life Link Inc Past Accepting new patients
Deepthi Cull MD PLLC Past Accepting new patients
Total Renal Care Inc Past Accepting new patients
Rafael Lao, M.D. Nephrology PastSince Jan 1, 1994 Accepting new patients

Locations

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: rafael.lao@direct.davitaphysiciansolutions.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1265477053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 LINCOLNSHIRE DR STE B",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642157",
            "telephone_number": "812-882-6416",
            "fax_number": "812-882-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST STE 100",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911029",
            "telephone_number": "812-882-6416",
            "fax_number": "812-882-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911038",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 E Main St Unit G",
            "address_purpose": "LOCATION",
            "city": "Robinson",
            "state": "IL",
            "postal_code": "624543753",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 WILLOW ST STE 101",
            "address_purpose": "LOCATION",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911029",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 N ALLEN ST",
            "address_purpose": "LOCATION",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541100",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 NW 11TH ST STE 1",
            "address_purpose": "LOCATION",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371203",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 NE 14th St",
            "address_purpose": "LOCATION",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012137",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 N BOONE ST",
            "address_purpose": "LOCATION",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502109",
            "country_code": "US",
            "telephone_number": "812-882-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAO",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01042614A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100384200B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.