RAPHAEL E ALBERT M.D.
NPI 1457414310
Family Medicine in Merrillville, IN

Q: What is Raphael Albert's NPI number?

The NPI number for Raphael Albert is 1457414310. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Raphael Albert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raphael Albert was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 19, 2006

74.63/100

CMS Quality Rating

751 E 81ST AVE, MERRILLVILLE, IN 46410(219) 791-9476(219) 791-9542 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2017, Jan 24, 2017 (2 updates tracked since 2017).

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About Raphael E Albert M.d. NPPES

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

RAPHAEL E ALBERT M.D. (NPI 1457414310) is an individual family medicine provider in Merrillville, Indiana, licensed in Indiana (01030144A) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1457414310

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAPHAEL E ALBERTCredential: M.D.

Location Address751 E 81ST AVEMerrillville, IN 46410-5538

Mailing Address751 E 81st AveMerrillville, IN 46410-5538 · (219) 791-9476 · Fax (219) 791-9542

Phone(219) 791-9476

Fax(219) 791-9542

Sole ProprietorNo

Enumeration DateDecember 19, 2006

Last NPPES UpdateMarch 2, 20172 updates tracked since enumeration

✔ NPI 1457414310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01030144A

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.

751 E 81ST AVE, Merrillville, IN 46410

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Other Identifiers 4

Medicare UPINC25142IN

Other080100660IN · Railroad Provider Number

Medicare ID-Type Unspecified405150TIN · Provider Medicare Number

Other00000089302IN · Provider Bcbs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

135 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 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.

37 services28 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services16 patients

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.

74.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.06

Improvement Activities

Cost

62.42

Other Providers at the Same Location NPPES 6

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

MARYAM JAMEELAH ADISA

Family Medicine