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SOPHIA THERESA RAFFERTY DO
NPI 1396485819
Pediatrics - Neonatal-Perinatal Medicine in Ann Arbor, MI

Active since March 31, 2022PECOS Enrolled
1540 E. HOSPITAL DRIVE, CW 8-641, SPC 4254, ANN ARBOR, MI 48109(734) 936-4213 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sophia Theresa Rafferty Do NPPES

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

SOPHIA THERESA RAFFERTY DO (NPI 1396485819) is an individual neonatal-perinatal medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101028457) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396485819
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSOPHIA THERESA RAFFERTYCredential: DO
Location Address1540 E. HOSPITAL DRIVE, CW 8-641, SPC 4254Ann Arbor, MI 48109-4254
Mailing Address1540 E. Hospital Drive, Cw 8-641, Spc 4254Ann Arbor, MI 48109-4254 · (734) 936-4213
Phone(734) 936-4213
Sole ProprietorYes
Enumeration DateMarch 31, 2022
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1396485819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MI · 5101028457
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1540 E. HOSPITAL DRIVE, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Theresa Rafferty Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

CAROLYN VEKSTEIN MD
Pediatrics (Neonatal-Perinatal Medicine)
1540 E. HOSPITAL DRIVE, CW 8-641, SPC 4254
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4213
SALONI HEGDE MD
Pediatrics (Pediatric Cardiology)
1540 E. HOSPITAL DRIVE, CW 11-715Z, SPC 4204
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4038
KYLA CORDREY MD
Pediatrics (Pediatric Cardiology)
1540 E. HOSPITAL DRIVE, 11-205
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4038
MOHAMMED DOKLAIJAH MD
Pediatrics (Pediatric Cardiology)
1540 E. HOSPITAL DRIVE, CW 11-715Z, SPC 4204
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4038
BRITTANY ALEXANDRA TANG MD
Pediatrics (Pediatric Cardiology)
1540 E. HOSPITAL DRIVE, CW 11-715Z, SPC 4204
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4038

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 Sophia Rafferty's NPI number?

The NPI number for Sophia Rafferty is 1396485819. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Sophia Rafferty located?

Sophia Rafferty practices at 1540 E. Hospital Drive Cw 8-641, Spc 4254, Ann Arbor, MI 48109. The listed phone number is (734) 936-4213.

What is Sophia Rafferty's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Sophia Rafferty enrolled in Medicare?

Yes. Sophia Rafferty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Rafferty was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.