Active NPI
Peter R Raphael, MD
- Family Medicine Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 57012589
- Practice address
- 495 Cooper Rd
Westerville, OH 43081-8780 - Phone
- (614) 898-8808
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57012589 | OH | Primary |
Addresses
Primary practice location
495 Cooper Rd
Westerville, OH 43081-8780
Mailing address
2150 Marble Cliff Park
Columbus, OH 43215
Phone (614) 234-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
Phone (330) 493-4443
870 W Main St
Geneva, OH 44041-1219
Phone (240) 686-2300
Hospital & facility affiliations
- University Hospitals Conneaut Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.46 of 100
- Quality
- 90.17
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57012589 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ues Geneva LLC | Current | Accepting new patients | |
| Emergency Professional Services, Inc. | Current | Accepting new patients | |
| University Emergency Specialists LLC | Current | Accepting new patients |
Locations
158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
Interoperability endpoints
- praphael299449@ehrdirect.uhhospitals.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Geneva, OH
- NPI 1689919029
-
- Emergency Medicine Physician
- Conneaut, OH
- NPI 1033454483
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Conneaut, OH
- NPI 1902996119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1740441799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 MARBLE CLIFF PARK",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-234-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 COOPER RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818780",
"telephone_number": "614-898-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPHAEL",
"first_name": "PETER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "57012589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.