Raphael Ye, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

R3458 Issued in TX

Practice address

4441 W Airport Fwy Ste 215
Irving, TX 75062-5959

Phone

(469) 444-7246

NPI assigned

Mar 31, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Interventional Pain Management

Education

New York College of Osteo Medicine of New York Institute of Technology, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iconiq Spine and Orthopaedic Center, PLLCGroup PAC ID 3476902719, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Iconiq Spine & Orthopaedic Center PLLC

  dba Holistiq Spine & Orthopaedic Clinic

  • Interventional Pain Medicine Physician
  • Irving, TX
  • NPI 1578279238
  Medicare reassignment Care Compare group NPD
• Iconiq Spine & Orthopaedic Center PLLC

  dba Holistiq Spine & Orthopaedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1982440426
  NPD (past)

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1326314584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 DAUGHERTY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572117",
            "telephone_number": "646-753-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 W AIRPORT FWY STE 215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625959",
            "telephone_number": "469-444-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4090 Mapleshade Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750930025",
            "country_code": "US",
            "telephone_number": "469-444-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N Collins St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760112645",
            "country_code": "US",
            "telephone_number": "469-444-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YE",
        "first_name": "RAPHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R3458",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R3458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372954301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syed Shafay Yaqeen, DDS
• Yashwanth Jasti MD PA
• Tara Genea Yates Newell, LMFT, CEAP
• James Min-Hsun Yau, M.D.
• Jocelyn Ybarra, MSN, RN, AGACNP-BC
• Yes Dental
• Yes to Perfect Health Inc
• Stephanie Konstandena Yianitsas, PA-C
• Yuching Ellie Yin, P.A.-C.
• Paula Yoder, BAHAVIOR ASSISTANT

• Interventional Pain Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.