DR. RAFAEL WINOGRAD M.D., PH.D.
NPI 1205282886
Internal Medicine - Hematology & Oncology in New York, NY

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
550 1ST AVE, NEW YORK, NY 10016(212) 731-6000 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2022, Jun 24, 2016, May 12, 2016 (3 updates tracked since 2016).

About Dr. Rafael Winograd M.d., Ph.d. NPPES

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

DR. RAFAEL WINOGRAD M.D., PH.D. (NPI 1205282886) is an individual hematology & oncology provider in New York, New York, licensed in New York (295462) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2016).

NPPES Registry Identity

NPI1205282886
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RAFAEL WINOGRADCredential: M.D., PH.D.
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address20 E 9th St # 3jNew York, NY 10003-5944 · (973) 951-4649
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2016
Enumeration DateMay 12, 2016
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
NPI 1205282886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 295462
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
550 1ST AVE, New York, NY 10016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Winograd M.d., Ph.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.

PECOS PAC ID1850626953
PECOS Enrollment IDI20220629002181
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.

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.

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.
183 services52 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.
73 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services12 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

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 Winograd's NPI number?

The NPI number for Rafael Winograd is 1205282886. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Rafael Winograd located?

Rafael Winograd practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 731-6000.

What is Rafael Winograd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rafael Winograd enrolled in Medicare?

Yes. Rafael Winograd 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.

Is Rafael Winograd affiliated with any hospitals?

According to CMS data, Rafael Winograd is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Rafael Winograd was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.