KARA DANIELLE RAFUL ACNP
NPI 1154868131
Nurse Practitioner - Pediatrics in San Antonio, TX
About Kara Danielle Raful Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARA DANIELLE RAFUL ACNP (NPI 1154868131) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (AP132853) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
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
Kara Danielle Raful Acnp 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
4Medicare enrollment records show Kara Raful reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 1,129 clinicians in this Medicare group
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 453 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 681 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 78207 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.
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
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 Kara Raful's NPI number?
The NPI number for Kara Raful is 1154868131. It was assigned to this individual provider in the NPPES registry on January 27, 2017.
Where is Kara Raful located?
Kara Raful practices at 903 W Martin St # Ms 49-2, San Antonio, TX 78207. The listed phone number is (201) 358-5437.
What is Kara Raful's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kara Raful enrolled in Medicare?
Yes. Kara Raful 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 Kara Raful's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kara Raful reassigns Medicare benefits to 4 organizations: Community Medicine Associates (San Antonio, TX), Baylor College Of Medicine (San Antonio, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX) and Hospital Medicine Services Of Tx, PLLC (San Antonio, 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 Kara Raful's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kara Raful accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and Oscar Insurance Company and 2 other insurers list Kara Raful 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 Kara Raful was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Kara Danielle Raful, ACNP · NPI 1154868131
Pediatrics physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since January 27, 2017.
## Identity
- **NPI:** 1154868131 (Entity type: Individual)
- **Enumerated:** January 27, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP132853 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 903 W MARTIN ST # MS 49-2, San Antonio, TX 78207-0903
- **Phone:** (201) 358-5437
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Community Medicine Associates (NPI 1245313329, San Antonio, TX); Baylor College Of Medicine (NPI 1285079764, San Antonio, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Hospital Medicine Services Of Tx, PLLC (NPI 1881392363, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 10, 2026
- **Other identifiers:** Medicaid 367615701 (TX); Other 367615702 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1154868131) · Data from the CMS NPPES public registry.