DR. RAFI THOMAS KEVORKIAN (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1124073630

DR. RAFI THOMAS KEVORKIAN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 108134 (MO). The NPI Number for DR. RAFI THOMAS KEVORKIAN (MD) is 1124073630

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAFI THOMAS KEVORKIAN (MD)
NPI
1124073630
Phone
(636) 634-5865
Address
522 N NEW BALLAS RD STE 317
Enumeration Date
23 May 2006
Last Update Date
14 October 2015

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
3274433560
Group Practice PAC ID
1153232038
Professional Enrollment ID
I20040112000343
Address ID
MO631303001SA7212XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

107 GERIATRIC MEDICINE in MO

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Provider Addresses for DR. RAFI THOMAS KEVORKIAN (MD)

  • 317, North New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SAINT LOUIS, MO 631416840

    Phone: (636) 634-5865

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Lilly USA, LLC ($51).

Total Amount

$148

General + Research + Ownership

Payments

8

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040112000343IGeriatric MedicineMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes29051$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes14360$0
99214Established patient office or other outpatient visit, 30-39 minutes4943$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1815$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153232038View full group profile
NameSpecialtyState
Family PracticeMO
Internal Medicine, Sleep MedicineMO
Internal Medicine, Allergy/ImmunologyMO
Internal MedicineMO
Internal MedicineMO
Osteopathic Manipulative MedicineMO
Orthopedic SurgeryMO
Internal Medicine, Pediatric MedicineMO
-MO
Internal Medicine, HospitalistMO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RAFI THOMAS KEVORKIAN (MD)?
NPI 1124073630 is assigned to DR. RAFI THOMAS KEVORKIAN (MD) under the national enumeration system.
Does this profile mean DR. RAFI THOMAS KEVORKIAN (MD) is currently active?
Yes — DR. RAFI THOMAS KEVORKIAN (MD) appears active in the national provider directory.
What field does DR. RAFI THOMAS KEVORKIAN (MD) work in?
You can think of DR. RAFI THOMAS KEVORKIAN (MD) as practicing within Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RAFI THOMAS KEVORKIAN (MD)?
The snapshot lists Saint Louis, Missouri for DR. RAFI THOMAS KEVORKIAN (MD); download NPPES for the complete set.
How can I contact DR. RAFI THOMAS KEVORKIAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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