RAFAEL GABRIEL FRIAS M.D.
NPI 1023498599
Family Medicine in Bronx, NY

Active since May 31, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
871 PROSPECT AVE, BRONX, NY 10459(718) 991-0605(718) 991-2391 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rafael Gabriel Frias M.d. NPPES

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

RAFAEL GABRIEL FRIAS M.D. (NPI 1023498599) is an individual family medicine provider in Bronx, New York, licensed in New York (289361) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2014).

NPPES Registry Identity

NPI1023498599
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAFAEL GABRIEL FRIASCredential: M.D.
Location Address871 PROSPECT AVEBronx, NY 10459-3913
Mailing Address871 Prospect AveBronx, NY 10459-3913 · (718) 991-0605 · Fax (718) 991-2391
Fax(718) 991-2391
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2014
Enumeration DateMay 31, 2015
Last NPPES UpdateFebruary 8, 2019
✔ NPI 1023498599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 289361
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
871 PROSPECT AVE, Bronx, NY 10459

Secondary Practice Location 1

Location 1853 Longwood AveBronx, NY 10459-4036 · Phone (718) 588-4460

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Gabriel Frias 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 ID244500973
PECOS Enrollment IDI20170727003336
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rafael Frias reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
169 W 133RD ST
New York, NY 10030
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10459 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$12.52 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$5.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Registered Nurse
871 PROSPECT AVE
BRONX, NY 10459
Clinic/Center (Community Health)
871 PROSPECT AVE
BRONX, NY 10459
Nurse Practitioner (Adult Health)
871 PROSPECT AVE
BRONX, NY 10459
Dietitian, Registered
871 PROSPECT AVE
BRONX, NY 10459
Family Medicine
871 PROSPECT AVE
BRONX, NY 10459
Dietitian, Registered
871 PROSPECT AVE
BRONX, NY 10459
Dietitian, Registered
871 PROSPECT AVE
BRONX, NY 10459
Psychologist (Clinical)
871 PROSPECT AVE
BRONX, NY 10459

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 Frias's NPI number?

The NPI number for Rafael Frias is 1023498599. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Where is Rafael Frias located?

Rafael Frias practices at 871 Prospect Ave, Bronx, NY 10459. The listed phone number is (718) 991-0605.

What is Rafael Frias's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rafael Frias enrolled in Medicare?

Yes. Rafael Frias 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.

Which organizations bill Medicare for Rafael Frias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Frias reassigns Medicare benefits to 2 organizations: Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (New York, NY) and Montefiore Medical Center (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafael Frias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Frias was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.