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DR. RAFAEL ANTONIO BLOISE ESPINAL MD
NPI 1689933392
Internal Medicine - Hospice and Palliative Medicine in Norwood, MA

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment
1 EDGEWATER DR STE 103, NORWOOD, MA 02062(617) 454-0200 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2024, Jun 12, 2023, Sep 12, 2016 (3 updates tracked since 2016).

About Dr. Rafael Antonio Bloise Espinal Md NPPES

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

DR. RAFAEL ANTONIO BLOISE ESPINAL MD (NPI 1689933392) is an individual hospice and palliative medicine provider in Norwood, Massachusetts, licensed in Massachusetts (250345) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1689933392
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. RAFAEL ANTONIO BLOISE ESPINALCredential: MD
Location Address1 EDGEWATER DR STE 103Norwood, MA 02062-4669
Mailing Address17855 Dallas Pkwy Ste 200Dallas, TX 75287-6857 · (346) 376-1702 · Fax (224) 532-2780
Phone(617) 454-0200
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 15, 2012
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1689933392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Licenses✔ Licensed in MA · 250345✔ Licensed in CT · 75541✔ Licensed in MI · 4301109066✔ Licensed in RI · 19378
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1 EDGEWATER DR STE 103, Norwood, MA 02062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Rafael Antonio Bloise Espinal 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 ID345490074
PECOS Enrollment IDI20121015000638
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,285 services240 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
653 services181 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
333 services241 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
82 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Other Providers at the Same Location NPPES 3

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

SEASONS HOSPICE & PALLIATIVE CARE OF MASSACHUSETTS, LLC
Hospice Care, Community Based
1 EDGEWATER DR STE 103
NORWOOD, MA 02062
Norfolk County (617) 454-0200
SUSAN HOLTZMAN LCSW
Social Worker
1 EDGEWATER DR STE 103
NORWOOD, MA 02062
Norfolk County (866) 670-9449
SEASONS MEDICAL GROUP OF MASSACHUSETTS, PC
Family Medicine (Hospice and Palliative Medicine)
1 EDGEWATER DR STE 103
NORWOOD, MA 02062
Norfolk County (617) 454-0200

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 Rafael Bloise Espinal's NPI number?

The NPI number for Rafael Bloise Espinal is 1689933392. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Rafael Bloise Espinal located?

Rafael Bloise Espinal practices at 1 Edgewater Dr Ste 103, Norwood, MA 02062. The listed phone number is (617) 454-0200.

What is Rafael Bloise Espinal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Rafael Bloise Espinal enrolled in Medicare?

Yes. Rafael Bloise Espinal 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 Rafael Bloise Espinal accept?

Health plans from Anthem Blue Cross and Blue Shield list Rafael Bloise Espinal 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.

Is Rafael Bloise Espinal affiliated with any hospitals?

According to CMS data, Rafael Bloise Espinal is affiliated with Lawrence General Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Bloise Espinal was last updated on February 7, 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.