OLGA ALEXANDROVNA RAFAELIAN (M.D.) – Psychiatry Physician, NPI 1295059038
Psychiatry Physician
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NPPES metrics only — not quality of care.
Provider Addresses for OLGA ALEXANDROVNA RAFAELIAN (M.D.)
5940 WESTPORT LN
NAPLES, FL 341165418
Phone: (239) 631-9858
Type: Mailing
1803 W MARCH LN STE D
STOCKTON, CA 952076414
Phone: (916) 364-8395
Type: Location
PO BOX 160
SHIPROCK, NM 874200160
Phone: (505) 368-6001
Type: Mailing
1803 W March Ln Ste C
Stockton, CA 952076414
Phone: (916) 364-8395
Type: Location
NCH Baker Hospital Downtown, 350, 7th Street North, Naples, Collier County, Florida, 34102, United States
NAPLES, FL 341025754
Phone: (239) 624-1660
Fax: (239) 624-1661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150526000249 | I | Psychiatry | TX | TBD |
| I20200612001090 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | OH | |
| - | FL | |
| H O S P I T A L I S T | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | MN | |
| Cardiovascular Disease (Cardiology) | FL | |
| Diagnostic Radiology | NC | |
| Nurse Practitioner | FL | |
| - | FL |
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