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RAFAEL G BORGES MD
NPI 1255406930
Family Medicine in Houston, TX

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
13626 VETERANS MEMORIAL DR STE F, HOUSTON, TX 77014(281) 580-8880(281) 580-8881 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rafael G Borges Md NPPES

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

RAFAEL G BORGES MD (NPI 1255406930) is an individual family medicine provider in Houston, Texas, licensed in Texas (K9230) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pinehurst, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1255406930
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAFAEL G BORGESCredential: MD
Location Address13626 VETERANS MEMORIAL DR STE FHouston, TX 77014-1053
Mailing Address13626 Veterans Memorial Dr Ste FHouston, TX 77014-1053 · (281) 580-8880 · Fax (281) 580-8881
Phone(281) 580-8880
Fax(281) 580-8881
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 21, 2006
Last NPPES UpdateSeptember 17, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1255406930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K9230
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13626 VETERANS MEMORIAL DR STE F, Houston, TX 77014
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Secondary Practice Location 1

Location 132360 TX 249, 130Pinehurst, TX 77362 · Phone (346) 808-7151 · Fax (346) 808-7117

Other Identifiers 1

Medicaid042969802TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.Insurance ›

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

Rafael G Borges 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 ID9638363534
PECOS Enrollment IDI20101104001182
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77014 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES

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

V & V MEDICAL MANAGEMENT
General Practice
13626 VETERANS MEMORIAL DR STE F
HOUSTON, TX 77014
Harris County (281) 580-8880

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 Borges's NPI number?

The NPI number for Rafael Borges is 1255406930. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Rafael Borges located?

Rafael Borges practices at 13626 Veterans Memorial Dr Ste F, Houston, TX 77014. The listed phone number is (281) 580-8880.

What is Rafael Borges's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rafael Borges enrolled in Medicare?

Yes. Rafael Borges 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.

What insurance does Rafael Borges accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Rafael Borges 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 Rafael Borges was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.