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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. OREN RAPHAEL MD
NPI 1255726485
Internal Medicine - Hospice and Palliative Medicine in Santa Monica, CA

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1301 20TH ST STE 470, SANTA MONICA, CA 90404(310) 829-8975(424) 291-4108 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Apr 9, 2026, Sep 1, 2022 (3 updates tracked since 2022).

About Dr. Oren Raphael Md NPPES

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

DR. OREN RAPHAEL MD (NPI 1255726485) is an individual hospice and palliative medicine provider in Santa Monica, California, licensed in California (A152831) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255726485
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. OREN RAPHAELCredential: MD
Location Address1301 20TH ST STE 470Santa Monica, CA 90404-2090
Mailing Address1301 20th St Ste 470Santa Monica, CA 90404-2090
Phone(310) 829-8975
Fax(424) 291-4108
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1255726485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · A152831
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedHospitalistTaxonomy 208M00000X · License A152831 (CA)
1301 20TH ST STE 470, Santa Monica, CA 90404
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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

Dr. Oren Raphael 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 ID8123405198
PECOS Enrollment IDI20220512000748
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

4

Medicare enrollment records show Oren Raphael reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Saint Johns Medical Foundation
0.1 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312
Prime Healthcare Ca, PC
7.0 mi
Surgery
6300 WILSHIRE BLVD STE 980
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1689543852 (917) 732-6379
American Wound Care PC
11 mi
Internal Medicine
14349 VICTORY BLVD STE 200
Van Nuys, CA 91401
  • Reassigned Medicare billing, California enrollment
NPI 1881417889 (917) 732-6379
Epic Wound Care Inc
20 mi
Hospice and Palliative Medicine
30700 RUSSELL RANCH RD STE 250
Westlake Village, CA 91362
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1265248413 (888) 998-7555

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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.82
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

HARVEY A. ZAREM, M.D., INC.
Plastic Surgery
1301 20TH ST STE 470
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0222
DEVERE GARETH WOOTTON M.D.
Specialist
1301 20TH ST STE 470
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0222
D. GARETH WOOTTON, M.D., INC.
Plastic Surgery
1301 20TH ST STE 470
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0222

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 Oren Raphael's NPI number?

The NPI number for Oren Raphael is 1255726485. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Oren Raphael located?

Oren Raphael practices at 1301 20th St Ste 470, Santa Monica, CA 90404. The listed phone number is (310) 829-8975.

What is Oren Raphael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Oren Raphael enrolled in Medicare?

Yes. Oren Raphael 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 Oren Raphael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oren Raphael reassigns Medicare benefits to 4 organizations: Providence Saint Johns Medical Foundation (Santa Monica, CA), Prime Healthcare Ca, PC (Los Angeles, CA), American Wound Care PC (Van Nuys, CA) and Epic Wound Care Inc (Westlake Village, CA). 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 Oren Raphael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Oren Raphael was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.