Individual provider Active NPI

Raphael Gabay, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1700863743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
OS006494L Issued in PA
Practice address
9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone
(215) 969-5650
Fax
(215) 969-5651
NPI assigned
Dec 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OS006494L PA Primary

Addresses

Primary practice location

9500 Roosevelt Blvd
Philadelphia, PA 19115

Mailing address

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-5650

Other identifiers 1

IdentifierTypeStateIssuer
0013969240004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060310000523 PA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5991606923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9500 Roosevelt Blvd
Philadelphia, PA 19115-3926

Merit-based Incentive Payment System (MIPS)

Final score
53.02 of 100Reported as individual
Quality
90
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael Gabay DO PC Otolaryngology/Facial Plastic Surgery CurrentSince Jul 1, 2003 Accepting new patients
Gabay ENT & Associates, Inc. Otolaryngology/Facial Plastic Surgery CurrentSince Feb 10, 1993 Accepting new patients

Locations

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700863743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-969-5650",
            "fax_number": "215-969-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-969-5650",
            "fax_number": "215-969-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABAY",
        "first_name": "RAPHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PA",
            "license": "OS006494L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013969240004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.