Active NPI
Mark Raphael, DO
- Gastroenterology Physician
- Saginaw, MI
National Provider Identifier
1922428382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101020932
- Practice address
- 900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182 - Phone
- (989) 583-7460
- NPI assigned
- Apr 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5101020932 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 5101020932 | MI |
Addresses
Primary practice location
900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Other practice location 1
28050 Grand River Ave
Department of Medical Education
Farmington Hills, MI 48336-5919
Phone (248) 888-2515
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mraphael90556@direct.covenanthealthcare.com | ||
| Direct Messaging Address | mraphael90556@direct.covenanthealthcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Michigan State University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Cooper Ave
Suite 4300
Saginaw, MI 48602-5182
Phone (989) 583-7460
Hospital & facility affiliations
- Covenant Medical Center
- Scheurer Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 186 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 303 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Michigan PC | Internal Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Satnam Medical PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
900 Cooper Ave
Ste 4300
Saginaw, MI 48602
Phone (989) 583-7460
Interoperability endpoints
- mraphael395210@direct.hfhs.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Internal Medicine
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1811132616
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Critical Access Hospital
- Pigeon, MI
- NPI 1437102993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1922428382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 N HARRISON ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOPER AVE STE 4300",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025182",
"telephone_number": "989-583-7460"
}
],
"practiceLocations": [
{
"address_1": "28050 Grand River Ave",
"address_2": "Department of Medical Education",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "248-888-2515",
"fax_number": "248-471-8837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPHAEL",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101020932",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101020932",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mraphael90556@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "28050 Grand River Ave",
"address_2": "Department of Medical Education",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483365919",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mraphael90556@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "900 Cooper Ave Ste 4300",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486025182",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.
- 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.