Active NPI
Rebecca Arielle Raphaely, M.D.
- Pulmonary Disease Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD61126046
- Practice address
- 11511 NE 10TH St
Bellevue, WA 98004-8578 - Phone
- (425) 502-3000
- Fax
- (425) 502-4233
- NPI assigned
- May 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD61126046 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD61126046 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | MD61126046 | WA | Primary |
Addresses
Primary practice location
11511 NE 10TH St
Bellevue, WA 98004-8578
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
Other practice location 2
55 Fruit St
Bulfinch 148
Boston, MA 02114-0211
Phone (617) 726-1721
Other practice location 3
1959 NE Pacific St
Seattle, WA 98195-0211
Phone (206) 520-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497166128 | Medicaid | WA |
Other names 1
- Rebecca A Israel
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Washington School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Hospital & facility affiliations
- Providence Regional Medical Center Everett
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61126046 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Swedish Health Services | Internal Medicine | Current | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1728 W Marine View Dr
Ste 111
Everett, WA 98201
11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000
19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- rraphaely4166290@ghc.direct-ci.net
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Otolaryngology Physician
- Everett, WA
- NPI 1285852681
-
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1497166128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578",
"telephone_number": "425-502-3000",
"fax_number": "425-502-4233"
}
],
"practiceLocations": [
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 FRUIT ST",
"address_2": "BULFINCH 148",
"address_purpose": "LOCATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021140211",
"country_code": "US",
"telephone_number": "617-726-1721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1959 NE Pacific St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981950211",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPHAELY",
"first_name": "REBECCA",
"middle_name": "ARIELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61126046",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD61126046",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD61126046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497166128",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11511 NE 10th St",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980048578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ISRAEL",
"middle_name": "A",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.