DR. CONSTANTINE RAPHTIS D.O.
NPI 1558354159
Obstetrics & Gynecology in St Clair Shores, MI

Q: What is Constantine Raphtis's NPI number?

The NPI number for Constantine Raphtis is 1558354159. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Constantine Raphtis's specialty?

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

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment

19714 E 10 MILE RD, ST CLAIR SHORES, MI 48080(586) 779-9400(586) 779-8949 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Constantine Raphtis D.o. NPPES

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

DR. CONSTANTINE RAPHTIS D.O. (NPI 1558354159) is an individual obstetrics & gynecology provider in St Clair Shores, Michigan, licensed in Michigan (5101010924) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1990).

NPPES Registry Identity

NPI1558354159

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. CONSTANTINE RAPHTISCredential: D.O.

Location Address19714 E 10 MILE RDSt Clair Shores, MI 48080-1064

Mailing Address19714 E 10 Mile RdSt Clair Shores, MI 48080-1064 · (586) 779-9400 · Fax (586) 779-8949

Phone(586) 779-9400

Fax(586) 779-8949

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1990

Enumeration DateAugust 30, 2005

Last NPPES UpdateOctober 29, 2008

✔ NPI 1558354159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 5101010924

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.

19714 E 10 MILE RD, St Clair Shores, MI 48080

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Other Identifiers 3

Medicare ID-Type Unspecified0N33140001Medicare Id Number

Medicaid4325630MI

Medicare UPINF88560

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Constantine Raphtis D.o. 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 ID2961479597

PECOS Enrollment IDI20120126000030

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 Reassignments

Medicare enrollment records show Constantine Raphtis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Clair Shores Obstetrics And Gynecolgy, Plc

Same address

Obstetrics & Gynecology

19714 E 10 MILE RD
Saint Clair Shores, MI 48080

Reassigned Medicare billing, Michigan enrollment
6 clinicians in this Medicare group

NPI 1164535886 (586) 779-9400

Uwh Of Michigan Plc

83 mi

Obstetrics & Gynecology

1560 TURF LN
East Lansing, MI 48823

Reassigned Medicare billing, Michigan enrollment
113 clinicians in this Medicare group

NPI 1982352357 (517) 484-3000

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 7

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

54 services52 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

47 services47 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

46 services43 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

37 services37 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

33 services32 patients

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.

15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 10

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

DR. SUZANNE M MILLICAN MD

Obstetrics & Gynecology