RALF THIELE MD
NPI 1164433249
Internal Medicine - Rheumatology in Rochester, NY

Q: What is Ralf Thiele's NPI number?

The NPI number for Ralf Thiele is 1164433249. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Ralf Thiele's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Ralf Thiele was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 11, 2006PECOS EnrolledAccepts Medicare Assignment

76.84/100

CMS Quality Rating

400 RED CREEK DR, SUITE 240, ROCHESTER, NY 14623(585) 486-0901(585) 340-5399 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ralf Thiele Md NPPES

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

RALF THIELE MD (NPI 1164433249) is an individual rheumatology provider in Rochester, New York, licensed in New Jersey (25MA07649400) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1164433249

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameRALF THIELECredential: MD

Location Address400 RED CREEK DR, SUITE 240Rochester, NY 14623-4273

Mailing Address601 Elmwood Ave, Box MedRochester, NY 14642-0001 · (585) 275-6275 · Fax (585) 276-2140

Phone(585) 486-0901

Fax(585) 340-5399

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 11, 2006

Last NPPES UpdateJuly 5, 2023

✔ NPI 1164433249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in NJ · 25MA07649400✔ Licensed in NY · 241557

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07649400 (NJ)

400 RED CREEK DR, Rochester, NY 14623

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Ralf Thiele Md 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 ID547161135

PECOS Enrollment IDI20061103000177

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

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

Allergy - Immunology - Rheumatology Clinical Group

4.0 mi

Allergy & Immunology

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
40 clinicians in this Medicare group

NPI 1497702286 (585) 275-2891

University Of Rochester

4.0 mi

General Acute Care Hospital

601 ELMWOOD AVE, BOX 684
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
1,624 clinicians in this Medicare group

NPI 1346285657 (585) 275-2100

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

Areas of Expertise CMS Part B claims 4

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.

Complete ultrasound scan of joint 76881

A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.

123 services68 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

116 services80 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330074

Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County

Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

76.84/100

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

Scored as part of a group practice

Quality

68.2

Promoting Interoperability

100

Improvement Activities

Cost

42.68

Other Providers at the Same Location NPPES 18

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

DR. MARGARET-MARY HOLYST MD

Internal Medicine (Rheumatology)

400 RED CREEK DR, SUITE 240
ROCHESTER, NY 14623

Monroe County (585) 486-0901

DR. CLIFFORD J AMEDURI M.D.

Physical Medicine & Rehabilitation

400 RED CREEK DR, STE 120
ROCHESTER, NY 14623

Monroe County (585) 334-5560

CAROLINE MAYBERRY QUILL MD

Internal Medicine (Pulmonary Disease)

400 RED CREEK DR, SUITE #110
ROCHESTER, NY 14623

Monroe County (585) 486-0147

ALICIA CATHERINE ANSBROW NP

Nurse Practitioner (Family)

400 RED CREEK DR
ROCHESTER, NY 14623

Monroe County (585) 487-1400

NICOLE S RIEMER NP

Nurse Practitioner (Family)

400 RED CREEK DR
ROCHESTER, NY 14623

Monroe County (585) 486-0901

MRS. HEATHER MAUREEN ALLERTON RPAC

Physician Assistant (Surgical)

400 RED CREEK DR, 120
ROCHESTER, NY 14623

Monroe County (585) 334-5580

JENNIFER H ANOLIK MD

Internal Medicine (Rheumatology)

400 RED CREEK DR, SUITE 240
ROCHESTER, NY 14623

Monroe County (585) 486-0901

DR. KIRSI M JARVINEN-SEPPO M.D., PH.D.

Pediatrics (Pediatric Allergy/Immunology)

400 RED CREEK DR, STE. 110
ROCHESTER, NY 14623

Monroe County (585) 486-0147

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 Ralf Thiele's NPI number?

The NPI number for Ralf Thiele is 1164433249. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Ralf Thiele located?

Ralf Thiele practices at 400 Red Creek Dr Suite 240, Rochester, NY 14623. The listed phone number is (585) 486-0901.

What is Ralf Thiele's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ralf Thiele enrolled in Medicare?

Yes. Ralf Thiele 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 Ralf Thiele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralf Thiele reassigns Medicare benefits to 2 organizations: Allergy - Immunology - Rheumatology Clinical Group (Rochester, NY) and University Of Rochester (Rochester, 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 Ralf Thiele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralf Thiele accept?

Health plans from Oscar Health list Ralf Thiele 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 Ralf Thiele affiliated with any hospitals?

According to CMS data, Ralf Thiele is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ralf Thiele was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.