Individual provider Active NPI

Peter R Raphael, MD

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1740441799
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57012589 Issued in OH
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

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000239 OH Practitioner - Emergency MedicinePractitioner - Family Practice 8628118205 Reassigns benefits to 3 organizations

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
University Emergency Specialists LLCGroup PAC ID 4587807854, 14 clinicians
Ues Geneva LLCGroup PAC ID 4789827064, 14 clinicians

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 Hospital, Conneaut, OH, CCN 361308

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
90.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57012589OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ues Geneva LLC CurrentSince Jun 15, 2023 Accepting new patients
Emergency Professional Services, Inc. CurrentSince Jul 1, 2010 Accepting new patients
University Emergency Specialists LLC CurrentSince Jun 15, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.