Organization Active NPI

Raphael D Lanade, MD PLLC

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1871925099
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31717 Issued in TN
Legal business name
RAPHAEL D LANADE, MD PLLC
Doing business as
Raphlan Medical Associates
Practice address
6106 Shallowford Rd
Suite100
Chattanooga, TN 37421-2239
Phone
(423) 208-9377
Fax
(423) 475-5143
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Raphael Dada Lanade, M.DNPI 1427081884
Title
Medical Director
Phone
(423) 208-9377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 31717 TN Primary

Addresses

Primary practice location

6106 Shallowford Rd
Suite100
Chattanooga, TN 37421-2239

Mailing address

6106 Shallowford Rd
Suite100
Chattanooga, TN 37421-2239
Phone (423) 208-9377

Other names 1

  • Raphlan Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140123000919 TN Part B Supplier - Clinic/Group Practice 1456589340 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1090219Raphlan Medical Associates6106 Shallowford Rd Ste 100, Chattanooga, TN 37421Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

6106 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 208-9377

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1871925099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD",
            "address_2": "SUITE100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212239",
            "telephone_number": "423-208-9377",
            "fax_number": "423-475-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 SHALLOWFORD RD",
            "address_2": "SUITE100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212239",
            "telephone_number": "423-208-9377",
            "fax_number": "423-475-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL D LANADE, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "LANADE",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "DADA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-208-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "31717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raphlan Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.