RAFAEL TURBAY M.D.
NPI 1023294642
Internal Medicine in Chicago, IL

Q: What is Rafael Turbay's NPI number?

The NPI number for Rafael Turbay is 1023294642. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Q: What is Rafael Turbay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Turbay was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-7229 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2021, Dec 15, 2020 (2 updates tracked since 2020).

On this page

About Rafael Turbay M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL TURBAY M.D. (NPI 1023294642) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-120029) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1023294642

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRAFAEL TURBAYCredential: M.D.

Location Address1901 W HARRISON STChicago, IL 60612-3714

Mailing Address1111 S Laflin St Apt 1208Chicago, IL 60607-4660 · (312) 545-8554

Phone(312) 864-7229

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJanuary 14, 2008

Last NPPES UpdateApril 30, 20212 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1023294642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 036-120029✔ Licensed in IL · 125049979

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036-120029 (IL)

1901 W HARRISON ST, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Turbay M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557542248

PECOS Enrollment IDI20110301000636

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

48 services16 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHANNA WEFES-POTTER

Emergency Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (847) 843-2000

ARON BERHANU GUDETTA MD

Internal Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6000

DR. LIGAYA VILLAFRANCA MARASIGAN M.D.

Obstetrics & Gynecology (Gynecology)

1901 W HARRISON ST
CHICAG, IL 60612

Cook County (312) 864-5901

TIN TIN THOMAS M.D.

Internal Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6000

COOK COUNTY

Pharmacy (Clinic Pharmacy)

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6189

HELEN ELIZABETH STRAUS MD

Emergency Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-0060

MR. GLEN DERRICK TRAMMELL PA-C

Physician Assistant

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (773) 869-7488

JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY

General Acute Care Hospital

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (773) 319-2085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Turbay's NPI number?

The NPI number for Rafael Turbay is 1023294642. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Rafael Turbay located?

Rafael Turbay practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-7229.

What is Rafael Turbay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rafael Turbay enrolled in Medicare?

Yes. Rafael Turbay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Turbay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Rafael Turbay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafael Turbay affiliated with any hospitals?

According to CMS data, Rafael Turbay is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Turbay was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.