SHIRI GABRIELLA RAPHAELY MD
NPI 1548757925
Psychiatry & Neurology - Child & Adolescent Psychiatry in Madison, WI

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
6001 RESEARCH PARK BLVD, MADISON, WI 53719(608) 232-3171 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, May 20, 2022, Apr 20, 2018 (3 updates tracked since 2018).

About Shiri Gabriella Raphaely Md NPPES

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

SHIRI GABRIELLA RAPHAELY MD (NPI 1548757925) is an individual child & adolescent psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (72185) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of University Of Washington School Of Medicine (2018).

NPPES Registry Identity

NPI1548757925
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSHIRI GABRIELLA RAPHAELYCredential: MD
Location Address6001 RESEARCH PARK BLVDMadison, WI 53719-1176
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateApril 20, 2018
Last NPPES UpdateAugust 29, 20243 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1548757925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in WI · 72185
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
6001 RESEARCH PARK BLVD, Madison, WI 53719

Secondary Practice Location 1

Location 1815 Forward DrMadison, WI 53711-2443 · Phone (608) 320-3232

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shiri Gabriella Raphaely 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 ID8224385117
PECOS Enrollment IDI20231020001231
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.

Areas of Expertise CMS Part B claims

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 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.
18 services12 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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Marriage & Family Therapist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Nurse Practitioner
6001 RESEARCH PARK BLVD
MADISON, WI 53719

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 Shiri Raphaely's NPI number?

The NPI number for Shiri Raphaely is 1548757925. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Shiri Raphaely located?

Shiri Raphaely practices at 6001 Research Park Blvd, Madison, WI 53719. The listed phone number is (608) 232-3171.

What is Shiri Raphaely's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shiri Raphaely enrolled in Medicare?

Yes. Shiri Raphaely 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.

What insurance does Shiri Raphaely accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 2 other insurers list Shiri Raphaely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shiri Raphaely was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.