Active NPI
Richard W Rafael, M.D.
- Gynecology Physician
- Reno, NV
National Provider Identifier
1619081924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 5289
- Practice address
- 770 Mill St
Reno, NV 89502-1321 - Phone
- (775) 323-4545
- Fax
- (775) 323-4869
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 5289 | NV | Primary |
Addresses
Primary practice location
770 Mill St
Reno, NV 89502-1321
Mailing address
770 Mill St
Reno, NV 89502-1321
Phone (775) 323-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016832 | Medicaid | NV |
Other names 1
- Dr. Ricahrd W Rafael, Chartered
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 |
|---|---|---|---|
| 5289 | NV | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1619081924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021321",
"telephone_number": "775-323-4545",
"fax_number": "775-323-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021321",
"telephone_number": "775-323-4545",
"fax_number": "775-323-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFAEL",
"first_name": "RICHARD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NV",
"license": "5289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016832",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICAHRD",
"last_name": "RAFAEL, CHARTERED",
"middle_name": "W",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.