MARITA RAFAEL M.D.
NPI 1033209705
Pediatrics in Corpus Christi, TX
About Marita Rafael M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARITA RAFAEL M.D. (NPI 1033209705) is an individual pediatrics provider in Corpus Christi, Texas, licensed in Texas (K7376) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
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
Marita Rafael 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.
Medicare Billing Reassignments
3Medicare enrollment records show Marita Rafael reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 109 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 257 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 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 78411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CORPUS CHRISTI, TX 78411
CORPUS CHRISTI, TX 78411
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 Marita Rafael's NPI number?
The NPI number for Marita Rafael is 1033209705. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Marita Rafael located?
Marita Rafael practices at 3533 S Alameda St, Corpus Christi, TX 78411. The listed phone number is (361) 694-5100.
What is Marita Rafael's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Marita Rafael enrolled in Medicare?
Yes. Marita Rafael 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 Marita Rafael's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marita Rafael reassigns Medicare benefits to 3 organizations: Nueces Emergency Medicine Associates PA (Corpus Christi, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX) and Travis County Emergency Physicians PA (Austin, TX). 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 Marita Rafael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marita Rafael accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Marita Rafael 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.
When was this NPI record last updated?
The NPPES record for Marita Rafael was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.