Organization Active NPI

Gary Elliot Raffel D.O., F.a.C.P.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1972702884
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0045839 Issued in MD
Legal business name
GARY ELLIOT RAFFEL D.O., F.A.C.P.
Practice address
5411 W Cedar LN
Suite 202a
Bethesda, MD 20814-1516
Phone
(301) 530-1150
Fax
(301) 260-2838
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Gary Elliot Raffel, D.O.NPI 1396747432
Title
Sole Propriator
Phone
(301) 570-9700

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 H0045839 MD Primary

Addresses

Primary practice location

5411 W Cedar LN
Suite 202a
Bethesda, MD 20814-1516

Mailing address

PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-9700

Other identifiers 2

IdentifierTypeStateIssuer
1396747432OtherNATIONAL PROVIDER IDENTIF
5998787400MedicaidMD

National Provider Directory

National Provider Directory

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1972702884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W CEDAR LN",
            "address_2": "SUITE 202A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141516",
            "telephone_number": "301-530-1150",
            "fax_number": "301-260-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY ELLIOT RAFFEL D.O., F.A.C.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "RAFFEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "SOLE PROPRIATOR",
        "authorized_official_telephone_number": "301-570-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0045839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIF",
            "identifier": "1396747432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5998787400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.