Active NPI
Marc I Raphaelson, MD
- Sleep Medicine (Internal Medicine) Physician
- Leesburg, VA
National Provider Identifier
1841264413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 0101042614
- Practice address
- 525K East Market St
Leesburg, VA 20176 - Phone
- (703) 771-0274
- Fax
- (703) 771-0276
- NPI assigned
- Feb 13, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2084N0400X | MD | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 0101042614 | VA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 14958 | WV | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | D0026660 | MD | |
| Neurology Physician | 2084N0400X | 0101042614 | VA |
Addresses
Primary practice location
525K East Market St
Leesburg, VA 20176
Mailing address
525K East Market St
Box 326
Leesburg, VA 20176
Phone (703) 771-0274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13908 1300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0026660 | MD | MD | Sleep Medicine (Internal Medicine) Physician |
| 0101042614 | VA | MD | Sleep Medicine (Internal Medicine) Physician |
| 2084N0400X | MD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bioserenity DT Inc. | Past | Accepting new patients | |
| Greater Washington Sleep Disorders Centers | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- North Olmsted, OH
- NPI 1306857792
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Sleep Disorder Diagnostic Clinic/Center
- Rockville, MD
- NPI 1699842609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1841264413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525K EAST MARKET ST",
"address_2": "BOX 326",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-771-0274",
"fax_number": "703-771-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525K EAST MARKET ST",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-771-0274",
"fax_number": "703-771-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPHAELSON",
"first_name": "MARC",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "2084N0400X",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "VA",
"license": "0101042614",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WV",
"license": "14958",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MD",
"license": "D0026660",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101042614",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13908 1300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.