Active NPI
Rafael Lao, M.D.
- Nephrology Physician
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01042614A
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100384200B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- DaVita Vincennes Dialysis
- DaVita Wayne County Dialysis
- DaVita Robinson Dialysis
- DaVita Vincennes Home Dialysis
- Good Samaritan Hospital
- Lawrence County Memorial Hospital
- Crawford Memorial Hospital
- Fairfield Memorial Hospital 1
- Clay County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Locations
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Vincennes, IN
- NPI 1841535176
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1578427332
-
dba New Hope Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Hope, MN
- NPI 1477875243
-
dba Wayne County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fairfield, IL
- NPI 1295920387
-
dba Kelley Corners Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake City, SC
- NPI 1598204802
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Robinson Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Robinson, IL
- NPI 1306086103
Dialysis facility
-
dba Wayne County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fairfield, IL
- NPI 1295920387
Dialysis facility
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1881643401
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.