Raphael Medical Services Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RAPHAEL MEDICAL SERVICES CORP

Practice address

6307 S Stewart Ave Ste 306
Chicago, IL 60621-3116

Phone

(773) 425-8665

Fax

(773) 776-8801

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tade Akere, M.D.

Title

MD/Manager

Phone

(773) 776-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Raphael Medical Services Corp.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1326517814

  O20181227000886

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Raphael Medical Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Raphael Medical Services Corp.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1326517814
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayoade O. Akere, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1538179379

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1821566977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 FOWLER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013955",
            "telephone_number": "737-776-8800",
            "fax_number": "773-776-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-425-8665",
            "fax_number": "773-776-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "AKERE",
        "authorized_official_first_name": "TADE",
        "authorized_official_title_or_position": "MD/MANAGER",
        "authorized_official_telephone_number": "773-776-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn M Rapacchietta, RN
• Rainier Mark Loidor Laguidao Rapal, MD
• Kirtee Raparia
• Traci Nicole Raper, OTR/L
• Rapha Dental Care
• Raphael Medical Services Corp.
• Steven Barry Raphael, D.D.S.
• Maeve Raphelson, AM
• Elizabeth Britt Raphling, LCPC
• Rapid Physical Therapy

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.