RAFAEL G BORGES MD
NPI 1255406930
Family Medicine in Houston, TX
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Rafael Borges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77014
- Reassigned Medicare billing, Texas enrollment
- 2 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 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.
Other Providers at the Same Location NPPES
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 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.
Which organization bills Medicare for Rafael Borges's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Borges reassigns Medicare benefits to V & V Medical Management (Houston, TX). The 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 Borges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafael Borges accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 G Borges, MD · NPI 1255406930
Family Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since November 21, 2006.
## Identity
- **NPI:** 1255406930 (Entity type: Individual)
- **Enumerated:** November 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** K9230 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13626 VETERANS MEMORIAL DR STE F, Houston, TX 77014-1053
- **Phone:** (281) 580-8880 · **Fax:** (281) 580-8881
## 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:** V & V Medical Management (NPI 1073018768, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** September 17, 2024
- **Other identifiers:** Medicaid 042969802 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1255406930) · Data from the CMS NPPES public registry.