SHIRI GABRIELLA RAPHAELY MD
NPI 1548757925
Psychiatry & Neurology - Child & Adolescent Psychiatry in Madison, WI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shiri Raphaely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organization bills Medicare for Shiri Raphaely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shiri Raphaely reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Shiri Raphaely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shiri Raphaely accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and HealthPartners 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 2 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.
# Shiri Gabriella Raphaely, MD · NPI 1548757925
Child & Adolescent Psychiatry physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 20, 2018.
## Identity
- **NPI:** 1548757925 (Entity type: Individual)
- **Enumerated:** April 20, 2018
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 72185 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6001 RESEARCH PARK BLVD, Madison, WI 53719-1176
- **Phone:** (608) 232-3171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1548757925) · Data from the CMS NPPES public registry.