Alicja Elzbieta Rafalowski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9701119 Issued in NC

Practice address

108 North Kerr Avenue
Suite E1
Wilmington, NC 28405-3499

Phone

(910) 395-0208

Fax

(910) 395-0460

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Blue Ridge Cardiology and Internal Medicine PA

  • Cardiovascular Disease Physician
  • Elkin, NC
  • NPI 1851363311

  Internal Medicine

  NPD (past)
• BRMG-PC

  • Cardiovascular Disease Physician
  • Elkin, NC
  • NPI 1477985430

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1447345673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NORTH KERR AVENUE",
            "address_2": "SUITE E1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053499",
            "telephone_number": "910-395-0208",
            "fax_number": "910-395-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTH KERR AVENUE",
            "address_2": "SUITE E1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053499",
            "telephone_number": "910-395-0208",
            "fax_number": "910-395-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALOWSKI",
        "first_name": "ALICJA",
        "middle_name": "ELZBIETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891054M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney N Rader
• Ian Thomas Radford, LDO,CPO
• Lauren Elizabeth Spinks Radkowski, PT
• Albena Radoslavova, MD
• Rafael Rivera, Jr, DDS, PLLC
• Hannah Sophia Raftery, LCSWA
• Michelle Lee Rager, PHARMD
• Tobi Ragon, LCMHC-A
• Mark William Ragozzino, M.D.
• Ashley Mason Rahauser, PA-C

• Internal Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.