Active NPI
Robert Edwin Raffel, MD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1467495671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 30041
- Practice address
- 7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431 - Phone
- (602) 395-0718
- Fax
- (602) 277-8146
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G23197 | CA | |
| Anesthesiology Physician | 207L00000X | ME0018394 | FL | |
| Anesthesiology Physician | 207L00000X | ME 89063 | FL | |
| Anesthesiology Physician | 207L00000X | 36043325 | IL | |
| Anesthesiology Physician | 207L00000X | 30041 | AZ | Primary |
| Anesthesiology Physician | 207L00000X | 40703 | CO |
Addresses
Primary practice location
7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431
Mailing address
PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G231970 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40703 | CO | MD | Anesthesiology Physician |
| ME 89063 | FL | MD | Anesthesiology Physician |
| ME0018394 | FL | MD | Anesthesiology Physician |
| 36043325 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E Raffel M D Inc | Anesthesiology | Past | Accepting new patients |
| Xenon Heath PC | Anesthesiology | Past | Accepting new patients |
| Century Anesthesia Assoc. | Anesthesiology | Past | Accepting new patients |
| Sebastian River Anesthesiology Associates, P. a. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
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-
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- NPI 1326036781
-
- Specialist
- Sebastian, FL
- NPI 1730161993
Anesthesiology
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1346506672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1467495671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699179",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 16TH ST",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204431",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFEL",
"first_name": "ROBERT",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G23197",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0018394",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME 89063",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "36043325",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "30041",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "40703",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G231970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.