BERND RAPHAEL, MD, PA – Specialist, NPI 1669651261

BERND RAPHAEL, MD, PA is a healthcare provider. based in Lehigh acres, Florida. specializing in Specialist. The organization holds a License No. ME85508 (FL). The NPI Number for BERND RAPHAEL, MD, PA is 1669651261

Main info

Organization
Name
BERND RAPHAEL, MD, PA
NPI
1669651261
Phone
Not provided
Address
470 LEE BLVD
Authorized Official
MRS. JEANNETTE WILLIAMS OFFICE ASSISTANT
Enumeration Date
31 October 2007
Last Update Date
31 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for BERND RAPHAEL, MD, PA

  • Lee Boulevard, Lehigh Acres, Fort Myers, Lee County, Florida, 33971, United States

    LEHIGH ACRES, FL 339364923

    Phone:

    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)

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: 2004-07-16

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
O20040716000506OClinic/Group PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33936)

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Reviews

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Frequently asked questions

What identifier follows BERND RAPHAEL, MD, PA across health systems?
The NPI 1669651261 uniquely identifies BERND RAPHAEL, MD, PA in U.S. healthcare data.
Is BERND RAPHAEL, MD, PA currently accepting referrals based on NPI status?
Registry metadata lists BERND RAPHAEL, MD, PA as active.
Which specialty label fits BERND RAPHAEL, MD, PA?
NPPES ties BERND RAPHAEL, MD, PA to Other Service Providers in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BERND RAPHAEL, MD, PA?
BERND RAPHAEL, MD, PA shows a connection to Lehigh Acres, Florida in registry-derived data.
Can I export BERND RAPHAEL, MD, PA's record?
You can download the official NPPES record; we summarize key fields for readability.

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