Melanie C Raffoul, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.121937 Issued in OH

Practice address

1911 Old Fairfield Rd Ste 110a
Beavercreek, OH 45432-2754

Phone

(937) 429-4826

Fax

(937) 429-4575

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, TX, CT3 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

Specialty

Family Practice

Education

Wright State University Boonshoft School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Urgent Care Medical of New York LLCGroup PAC ID 5890071443, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mraffoul1049814@direct.sw.org

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.

• Urgent Care Medical Associates, LLC

  • Urgent Care Clinic/Center
  • Brookfield, CT
  • NPI 1730479254

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Urgent Care Medical of New York, LLC

  • Urgent Care Clinic/Center
  • Baldwin Place, NY
  • NPI 1154866879
  Medicare reassignment Care Compare group NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1427054402
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Mvhe Inc

  • Family Medicine Physician
  • Beavercreek, OH
  • NPI 1952608044
  NPD (past)
• WRK Ventures, LLC

  • Urgent Care Clinic/Center
  • Southbury, CT
  • NPI 1194993980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1639465586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752062901",
            "telephone_number": "972-817-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 OLD FAIRFIELD RD STE 110A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322754",
            "telephone_number": "937-429-4826",
            "fax_number": "937-429-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFOUL",
        "first_name": "MELANIE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.121937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pyramid Physician Services LLC
• Robert D Quakenbush
• Brett Quine, CRNA
• Adam Kenton Quinn, MD
• Wendy Rachman, LAC
• Amie Marie Raines, RN
• Morgan K Raines, LISW
• Chester R Raleigh, LICDC
• Todd Vincent Randall, DPT
• Ellen K Ratay, APRN

• Family Medicine Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.

Verify at the official NPI Registry.