Individual provider Active NPI

Rachael L Williams, M.D.

  • Otolaryngology Physician
  • Carmel, IN
National Provider Identifier
1861813776
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01080579A Issued in IN
Practice address
12188A N Meridian St Ste 375
Carmel, IN 46032-4433
Phone
(317) 926-1056
NPI assigned
Dec 18, 2013
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01080579A IN Primary

Addresses

Primary practice location

12188A N Meridian St Ste 375
Carmel, IN 46032-4433

Mailing address

12188A N Meridian St Ste 375
Carmel, IN 46032-4433
Phone (317) 926-1056

Other practice location 1

1429 N 6th St Fl 3
Terre Haute, IN 47807-1019
Phone (812) 242-3161

Other identifiers 1

IdentifierTypeStateIssuer
01080579AOtherINMEDICAL LICENSE

Other names 1

  • Rachael L Raffle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachael.raffle.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180718004155 IN Practitioner - Otolaryngology 1557648540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1429 N 6TH St
Terre Haute, IN 47807-1019
Phone (317) 926-1056

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

590 Pit Rd
Brownsburg, IN 46112-7830
Phone (317) 456-1100

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135845CAMDMarriage & Family Therapist
01080579AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Union Hospital Inc. Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Usc Head & Neck Group, Inc Past Accepting new patients

Locations

1115 Ronald Reagan Pkwy
Ste 254
Avon, IN 46123
Phone (317) 705-2700

590 Pit Rd
Brownsburg, IN 46112
Phone (317) 415-6040

12188A N Meridian St
Ste 375
Carmel, IN 46032

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

1429 N 6th St
Fl 3
Terre Haute, IN 47807
Phone (812) 242-3161

Interoperability endpoints

  • Direct secure messaging: rraffle@unionhealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1861813776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324433",
            "telephone_number": "317-926-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324433",
            "telephone_number": "317-926-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 N 6th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478071019",
            "country_code": "US",
            "telephone_number": "812-242-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01080579A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01080579A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachael.raffle.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "12188A N Meridian St Ste 375",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "RAFFLE",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.