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MR. RAPHAEL T TSHIBANGU MD
NPI 1518935378
Obstetrics & Gynecology in Rochester, NY

Active since March 09, 2006PECOS Enrolled
990 SOUTH AVENUE, SUITE 104, ROCHESTER, NY 14620(585) 256-3000(585) 256-3045 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Raphael T Tshibangu Md NPPES

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

MR. RAPHAEL T TSHIBANGU MD (NPI 1518935378) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (1395531) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518935378
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. RAPHAEL T TSHIBANGUCredential: MD
Location Address990 SOUTH AVENUE, SUITE 104Rochester, NY 14620
Mailing Address990 South Avenue, Suite 104Rochester, NY 14620 · (585) 256-3000 · Fax (585) 256-3045
Phone(585) 256-3000
Fax(585) 256-3045
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518935378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 1395531
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
990 SOUTH AVENUE, Rochester, NY 14620
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Other Identifiers 7

Other100876CKNY · Preferred Care
Other10511426Caqh
Other4345433Aetna
Medicare UPINB72518
Medicare ID-Type Unspecified10683CNY
Other2918NY · Blue Shield
Medicaid00927591NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raphael T Tshibangu Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Raphael Tshibangu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Ob-Gyn PC
Same address
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 104
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1184764524 (585) 256-3000

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 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EUFEMIA J A MARIANO MD
Obstetrics & Gynecology
990 SOUTH AVENUE, SUITE 104
ROCHESTER, NY 14620
Monroe County (585) 256-3000
THEODORE I HIROKAWA M.D.
Surgery
990 SOUTH AVENUE, SUITE 201
ROCHESTER, NY 14620
Monroe County (585) 473-1580
RITA A CLEMENT MD
Obstetrics & Gynecology
990 SOUTH AVENUE, SUITE 104
ROCHESTER, NY 14620
Monroe County (585) 256-3000
MS. SARAH A NOLDER FNP-C
Nurse Practitioner (Family)
990 SOUTH AVENUE, SUITE 104
ROCHESTER, NY 14620
Monroe County (585) 256-3000
LOUIS ROBERT COS MD
Urology
990 SOUTH AVENUE, #208
ROCHESTER, NY 14620
Monroe County (585) 244-3080
MRS. COLLEEN MICHELE BUD NP-C
Nurse Practitioner (Family)
990 SOUTH AVENUE, PROFESSIONAL OFFICE BUILDING, SUITE 020
ROCHESTER, NY 14620
Monroe County (585) 341-8017

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 Raphael Tshibangu's NPI number?

The NPI number for Raphael Tshibangu is 1518935378. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Raphael Tshibangu located?

Raphael Tshibangu practices at 990 South Avenue Suite 104, Rochester, NY 14620. The listed phone number is (585) 256-3000.

What is Raphael Tshibangu's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Raphael Tshibangu enrolled in Medicare?

Yes. Raphael Tshibangu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raphael Tshibangu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Tshibangu reassigns Medicare benefits to Southeast Ob-Gyn PC (Rochester, NY). 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 Raphael Tshibangu'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 Raphael Tshibangu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.