DR. RAFAEL AMARAL (M.D.) – Gastroenterology Physician, NPI 1295719060
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
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Provider Addresses for DR. RAFAEL AMARAL (M.D.)
1, West Elm Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States
STE 100
CONSHOHOCKEN, PA 194284108
Phone: (610) 534-6270
Fax: (610) 534-6269
Type: Mailing
Lansdowne Avenue, Winding Way, Drexel Hill, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States
SUITE 205
DARBY, PA 190231333
Phone: (610) 534-6270
Fax: (610) 534-6269
Type: Location
41 UNIVERSITY DR STE 106
NEWTOWN, PA 189401873
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 196 Open Payments records for all available years, with a total value of $6,886.
Total Amount is formed as General ($6,886) + Research ($0) + Ownership ($0) = $6,886.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Olympus Corporation ($1,470).
Total Amount
$6,886
General + Research + Ownership
Payments
196
Total payment records
General Amount
$6,886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus Corporation | $1,470 |
| ABBVIE INC. | $1,345 |
| Olympus Medical Systems Corporation | $840 |
| Janssen Biotech, Inc. | $490 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $415 |
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: 2005-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050405000634 | I | Gastroenterology | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 185 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 178 | 130 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 60 | 56 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 53 | 51 | $0 |
Insurance plans in this area (ZIP 19428)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| H O S P I T A L I S T | PA | |
| Emergency Medicine | PA | |
| H O S P I T A L I S T | NY | |
| Infectious Disease | PA |
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