Rafael Christian, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10384 Issued in PR

Practice address

1000 Health Center Road
Kyle, SD 57752-0000

Phone

(605) 455-8214

Fax

(605) 455-1529

NPI assigned

Nov 16, 2005

Last updated

Jun 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pine Ridge Indian Health Service Hospital

  dba Kyle Health Center

  • Clinic/Center
  • Kyle, SD
  • NPI 1003963497

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1831171834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER ROAD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520000",
            "telephone_number": "605-455-8214",
            "fax_number": "605-455-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER ROAD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520000",
            "telephone_number": "605-455-8214",
            "fax_number": "605-455-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10384",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Black Bear, LPC
• Kari R Blasius, RDLNCDE
• Roslyn Ruth Bolzer, R.D., L.N.
• Margaret Brill, PHARMD
• Alexander Chmura
• Suzanne Curts, RN
• Mary E Dvorak, PHARMACIST
• Emmaline Elk, RN
• Ellen Stephen Hospice and Homecare
• Christian W Emde, PHARM. D.

• Pediatrics Physician in Kyle, SD
• Providers in Kyle, SD by specialty
• Pediatrics Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.