Individual provider Active NPI

Tal R Raphaeli, MD

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1609910009
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
P1919 Issued in TX
Practice address
1125 Cypress Station Dr Ste G-3
Houston, TX 77090-3055
Phone
(281) 583-1300
Fax
(281) 583-1303
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X P1919 TX Primary

Addresses

Primary practice location

1125 Cypress Station Dr Ste G-3
Houston, TX 77090-3055

Mailing address

1125 Cypress Station Dr Ste G-3
Houston, TX 77090-3055
Phone (281) 583-1300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120816000912 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6800061961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Colon and Rectal Surgery, P.a.Group PAC ID 0042242034, 3 clinicians

Practice addresses (Care Compare)

1125 Cypress Station Dr
Suite G 3
Houston, TX 77090-3055
Phone (281) 583-1300

17201 Interstate 45 S
Methodist Hosp Woodlands
The Woodlands, TX 77385-3311
Phone (936) 270-2000

18220 Tomball Pkwy
Houston, TX 77070-4347
Phone (281) 477-1000

18951 N Memorial Dr
Memorial Herman Northeast
Humble, TX 77338-4217
Phone (281) 540-7700

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000

710 FM 1960
Houston NW Med Ctr
Houston, TX 77090-3496
Phone (281) 440-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Colon & Rectal Surgery, P.a. Colon & Rectal Surgery CurrentSince Jul 1, 2012 Accepting new patients
Deerbrook Surgery Center LLC Past Accepting new patients

Locations

800 Peakwood Dr
Ste 4C
Houston, TX 77090
Phone (281) 444-3181

1125 Cypress Station Dr
Ste G-3
Houston, TX 77090
Phone (281) 540-8779

17189 Interstate 45 S
Ste 275
Shenandoah, TX 77385
Phone (281) 362-1368

920 Medical Plaza Dr
Ste 550
Shenandoah, TX 77380
Phone (281) 440-0101

Interoperability endpoints

  • Direct secure messaging: tal.raphaeli@gcrs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGCJAA/Endpoint/CGCJAA

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1609910009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE G-3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "281-583-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE G-3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "281-583-1300",
            "fax_number": "281-583-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAELI",
        "first_name": "TAL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "P1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.