DR. KEITH W.L. RAFAL MD
NPI 1487755963
Physical Medicine & Rehabilitation in North Smithfield, RI
NPI Status: Active since September 26, 2006
Contact Information
116 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI
ZIP 02896
Phone: (401) 766-0800
Fax: (401) 765-5904
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
About KEITH RAFAL
This page provides the complete NPI Profile along with additional information for Keith Rafal, a provider established in North Smithfield, Rhode Island with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1487755963 assigned on September 2006. The practitioner's primary taxonomy code is 208100000X with license number MD06749 (RI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1487755963
- Provider Name
- DR. KEITH W.L. RAFAL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 116 EDDIE DOWLING HWY NORTH SMITHFIELD, RI 02896
- Location Phone
- (401) 766-0800
- Location Fax
- (401) 765-5904
- Mailing Address
- 116 EDDIE DOWLING HWY NORTH SMITHFIELD, RI 02896
- Mailing Phone
- (401) 766-0800
- Mailing Fax
- (401) 765-5904
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-26-2006
- Last Update Date
- 04-11-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD06749
- License State
- RI
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22534 | OTHER (01) | MA | HARVARD PILGRIM |
| 404632 | OTHER (01) | MA | TUFTS |
| A59218 | MEDICARE UPIN (02) | RI | |
| 23-00080 | OTHER (01) | RI | UNITED HEALTH |
| 4197 | OTHER (01) | RI | NEIGHBORHOOD HEALTH PLAN |
| 7680569 | OTHER (01) | RI | COMMERCIAL |
| J06887 | OTHER (01) | MA | MASS BLUE CROSS |
| 2567536 | OTHER (01) | RI | AETNA |
| J06887 | MEDICARE PIN (08) | ||
| 8725377002 | OTHER (01) | RI | RI CIGNA |
| 3020185 | OTHER (01) | MA | MASS HEALTH |
| 80579 | OTHER (01) | RI | RI HARVARD PILGRIM |
| 22166 | OTHER (01) | RI | BLUE CROSS OF RI |
| 23-00181 | OTHER (01) | RI | MEDICARE COMPLETE |
| 405187 | OTHER (01) | RI | BLUE CHIP |
Medicare Participation & PECOS Enrollment Status
Keith Rafal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487755963, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
N SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
NORTH SMITHFIELD, RI 02896
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487755963, enumerated as an "individual" on September 26, 2006.
The provider is located at 116 EDDIE DOWLING HWY NORTH SMITHFIELD, RI 02896 and the phone number is (401) 766-0800.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan, Blue Cross. Please consult your insurance carrier or call the provider to verify.
