Individual provider Active NPI

Raafay Sophie, MD

  • Ophthalmology Physician
  • Grand Blanc, MI
National Provider Identifier
1285044107
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301501258 Issued in MI
Practice address
9400 S Saginaw Rd Ste D
Grand Blanc, MI 48439-9666
Phone
(810) 487-4500
NPI assigned
Apr 30, 2014
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301501258 MI Primary
Ophthalmology Physician 207W00000X 68700-20 WI

Addresses

Primary practice location

9400 S Saginaw Rd Ste D
Grand Blanc, MI 48439-9666

Mailing address

9400 S Saginaw Rd
Ste D
Grand Blanc, MI 48439-9666
Phone (810) 487-4500

Other practice location 1

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 588-0550

Other practice location 2

925 N 87th St
Milwaukee, WI 53226
Phone (414) 456-2020

Other identifiers 1

IdentifierTypeStateIssuer
1285044107MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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
I20180809005804 WI Practitioner - Ophthalmology 8426366238 Reassigns benefits to 1 organization
I20200623002022 MI Practitioner - Ophthalmology 8426366238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Specialists PLCGroup PAC ID 9234388919, 5 clinicians

Practice addresses (Care Compare)

5885 S Main St
Clarkston, MI 48346-2981

8562 Holly Rd
Grand Blanc, MI 48439-8301
Phone (810) 487-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501258MIMDOphthalmology Physician
68700-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreoretinal Specialists PLC Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jun 20, 2018 Accepting new patients
Obstetric & Gynecology Physicians of Flint, PC PastSince May 24, 2020 Accepting new patients

Locations

5885 S Main St
Ste 2
Clarkston, MI 48346
Phone (248) 933-6534

8562 Holly Rd
Grand Blanc, MI 48439
Phone (810) 487-4500

8562 Holly Rd
Ste D
Grand Blanc, MI 48439

9400 S Saginaw Rd
Ste D
Grand Blanc, MI 48439
Phone (810) 344-9073

925 N 87th St
Milwaukee, WI 53226
Phone (414) 955-2020

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: rsophie1152021@direct.hfhs.org

Organizations & group practices 3

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 1

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1285044107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S SAGINAW RD",
            "address_2": "STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399666",
            "telephone_number": "810-487-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 S SAGINAW RD STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399666",
            "telephone_number": "810-487-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Muhammad Ali Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021511",
            "country_code": "US",
            "telephone_number": "502-588-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 N 87th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-456-2020",
            "fax_number": "414-456-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPHIE",
        "first_name": "RAAFAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301501258",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "68700-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285044107",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.