RAFAEL MADERO MD
NPI 1194106930
Family Medicine in Rochester, NY
About Rafael Madero Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFAEL MADERO MD (NPI 1194106930) is an individual family medicine provider in Rochester, New York, licensed in New York (323826) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and maintains a secondary practice location in Syracuse.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 Madero 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.
Medicare Billing Reassignments
6Medicare enrollment records show Rafael Madero reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Western New York Medical Practice PC
- 1,030 clinicians in this Medicare group
Rochester, NY 14617
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
Rochester, NY 14627
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Rochester, NY 14623
- Reassigned Medicare billing, New York enrollment
- 112 clinicians in this Medicare group
Batavia, NY 14020
- Reassigned Medicare billing, New York enrollment
- 782 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Strong Memorial Hospital
Acute Care Hospitals · Rochester, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14621 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.
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 Madero's NPI number?
The NPI number for Rafael Madero is 1194106930. It was assigned to this individual provider in the NPPES registry on June 17, 2015.
Where is Rafael Madero located?
Rafael Madero practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-5067.
What is Rafael Madero's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rafael Madero enrolled in Medicare?
Yes. Rafael Madero 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 Madero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Madero reassigns Medicare benefits to 6 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C. (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), University Of Rochester (Rochester, NY), University Of Rochester Urgent Care (Rochester, NY) and 1 more organization, listed in the Medicare section above. 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 Madero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Rafael Madero affiliated with any hospitals?
According to CMS data, Rafael Madero is affiliated with Strong Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Rafael Madero was last updated on July 19, 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.
# Rafael Madero, MD · NPI 1194106930
Family Medicine physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since June 17, 2015.
## Identity
- **NPI:** 1194106930 (Entity type: Individual)
- **Enumerated:** June 17, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 323826 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621-3001
- **Phone:** (585) 922-5067
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); Western New York Medical Practice P.C. (NPI 1063790608, Rochester, NY); The Unity Hospital Of Rochester (NPI 1457395766, Rochester, NY); University Of Rochester (NPI 1548583305, Rochester, NY); University Of Rochester Urgent Care (NPI 1700260395, Rochester, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194106930) · Data from the CMS NPPES public registry.