Individual provider Active NPI

Leonard Raphael, M.D.

  • Anesthesiology Physician
  • Bryan, TX
National Provider Identifier
1609987916
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H2709 Issued in TX
Practice address
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Phone
(979) 776-4777
Fax
(979) 776-0588
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H2709 TX Primary

Addresses

Primary practice location

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769

Mailing address

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Phone (979) 776-4777

Other identifiers 1

IdentifierTypeStateIssuer
1339004-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041230000412 TX Practitioner - Anesthesiology 3173581584 Reassigns benefits to 9 organizations
I20210308001311 FL Practitioner - Anesthesiology 3173581584 Reassigns benefits to 2 organizations
I20220831000369 MO Practitioner - Anesthesiology 3173581584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1604 Rock Prairie Rd
College Station, TX 77845-8345
Phone (979) 764-5100

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 675-2216

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2709TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of El Paso PA Anesthesiology CurrentSince Mar 20, 2020 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Aug 19, 2019 Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology Current Accepting new patients
Utmb Faculty Group Practice Anesthesiology CurrentSince Nov 21, 2022 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Mar 16, 2020 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Mar 19, 2018 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Dec 18, 2023 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jan 23, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jan 23, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 16, 2020 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince May 4, 2012 Accepting new patients
Beaumont Hospital Holdings Inc Past Accepting new patients

Locations (25 of 35)

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

3545 Lindell Blvd
Fl 3
Saint Louis, MO 63103

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

1737 Briarcrest Dr
Ste 14
Bryan, TX 77802
Phone (409) 776-4777

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Interoperability endpoints

  • Direct secure messaging: rleonard239268@christushealth.direct-ci.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1609987916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 BRIARCREST DR",
            "address_2": "SUITE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022769",
            "telephone_number": "979-776-4777",
            "fax_number": "979-776-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 BRIARCREST DR",
            "address_2": "SUITE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022769",
            "telephone_number": "979-776-4777",
            "fax_number": "979-776-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "LEONARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H2709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339004-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.