DR. RICHARD RAFAL (M.D.) – Diagnostic Radiology Physician, NPI 1164422689

DR. RICHARD RAFAL (M.D.) is a healthcare provider. based in New york, New York. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 163854 (NY). The NPI Number for DR. RICHARD RAFAL (M.D.) is 1164422689

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD RAFAL (M.D.)
NPI
1164422689
Phone
(212) 939-8062
Address
240 E 82ND ST
Enumeration Date
27 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
2129391840
Graduation Year
1984 (42 years ago)
PAC ID
8426015801
Group Practice PAC ID
4688098833
Professional Enrollment ID
I20041216001123
Address ID
NY100371802NE506XXAVEX300
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

3,685 DIAGNOSTIC RADIOLOGY in NY

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Provider Addresses for DR. RICHARD RAFAL (M.D.)

  • 240, 82nd Street, Bay Ridge, Brooklyn, Kings County, New York, Stone Street Historic District, New York, 11209, United States

    12A

    NEW YORK, NY 100282703

    Phone: (212) 939-8062

    Type: Mailing

  • 2095, Flatbush Avenue, Flatlands, Brooklyn, Kings County, New York, Stone Street Historic District, New York, 11234, United States

    BROOKLYN, NY 112344338

    Phone: (718) 338-6868

    Fax: (718) 252-3650

    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: 2004-12-16

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
I20041216001123IDiagnostic RadiologyNYTBD

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
71045X-ray of chest, 1 view170130$0
71046X-ray of chest, 2 views5954$0
71275Ct scan of blood vessels of chest with contrast2828$0
71250Ct scan of chest without contrast2727$0
71271Low dose ct scan of chest for lung cancer screening1515$0
View full utilization report →

Insurance plans in this area (ZIP 10028)

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Provider's Procedures

DR. RICHARD RAFAL (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNY71010X-ray of chest, 1 view, front13621006
DIAGNOSTIC RADIOLOGYNY71250CT scan chest9595
DIAGNOSTIC RADIOLOGYNY73110X-ray of wrist, minimum of 3 views1212

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: 4688098833View full group profile
NameSpecialtyState
Physician AssistantNJ
Anesthesiology, Pain ManagementNY
O P H T H A L M O L O G YNY
Physician AssistantNY
Orthopedic SurgeryIL
D E R M A T O L O G YNY
Physician AssistantNY
Emergency MedicineNY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineNY
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RICHARD RAFAL (M.D.)?
NPI 1164422689 is assigned to DR. RICHARD RAFAL (M.D.) under the national enumeration system.
Is DR. RICHARD RAFAL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. RICHARD RAFAL (M.D.) work in?
You can think of DR. RICHARD RAFAL (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. RICHARD RAFAL (M.D.)?
We surface New York, New York for DR. RICHARD RAFAL (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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