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DR. RAPHAEL KELLMAN MD
NPI 1124030044
Internal Medicine in New York, NY

Active since August 12, 2006Opted out of Medicare · through Sep 11, 2027
860 FIFTH AVENUE, NEW YORK, NY 10021(646) 512-0182 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raphael Kellman Md NPPES

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

DR. RAPHAEL KELLMAN MD (NPI 1124030044) is an individual internal medicine provider in New York, New York, licensed in New York (181549) and active in the NPI registry since August 2006. He has opted out of Medicare through September 11, 2027 and remains eligible to order and refer and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1987).

NPPES Registry Identity

NPI1124030044
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAPHAEL KELLMANCredential: MD
Location Address860 FIFTH AVENUENew York, NY 10021
Mailing Address304 W 90th St Apt 4fNew York, NY 10024-1636 · (212) 799-3282
Phone(646) 512-0182
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1987
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124030044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 181549
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.
860 FIFTH AVENUE, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE51332NY
Medicare ID-Type Unspecified61F221NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Raphael Kellman Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2019 through September 11, 2027.

Opt-Out Effective DateSeptember 11, 2019
Opt-Out In Effect ThroughSeptember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Raphael Kellman's NPI number?

The NPI number for Raphael Kellman is 1124030044. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Raphael Kellman located?

Raphael Kellman practices at 860 Fifth Avenue, New York, NY 10021. The listed phone number is (646) 512-0182.

What is Raphael Kellman's specialty?

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

Is Raphael Kellman enrolled in Medicare?

No. Raphael Kellman has opted out of Medicare through September 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Raphael Kellman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.