ELYSE S RAFAL M D P C
NPI 1699025635
Dermatology in Stony Brook, NY
About Elyse S Rafal M D P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELYSE S RAFAL M D P C (NPI 1699025635) is a healthcare organization registered as a dermatology in Stony Brook, New York and active in the NPI registry since September 2012. The organization lists Elyse S Rafal, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elyse S Rafal M D P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elyse S Rafal M D P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Elyse S Rafal M D P C's NPI number?
The NPI number for Elyse S Rafal M D P C is 1699025635. It was assigned to this organization in the NPPES registry on September 18, 2012.
Where is Elyse S Rafal M D P C located?
Elyse S Rafal M D P C is located at 2500 Route 347 Building 22A, Stony Brook, NY 11790. The listed phone number is (631) 689-0300.
What is Elyse S Rafal M D P C's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Elyse S Rafal M D P C enrolled in Medicare?
Yes. Elyse S Rafal M D P C is registered in the Medicare PECOS enrollment system.
When is Elyse S Rafal M D P C's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Elyse S Rafal M D P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Elyse S Rafal M D P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Elyse S Rafal M D P C was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Elyse S Rafal M D P C · NPI 1699025635
Dermatology organization in Stony Brook, New York. Organization record, active in the CMS NPPES registry since September 18, 2012.
## Identity
- **NPI:** 1699025635 (Entity type: Organization)
- **Enumerated:** September 18, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Elyse Rafal, PRESIDENT
## Practice location
- **Address:** 2500 ROUTE 347, BUILDING 22A, Stony Brook, NY 11790-2555
- **Phone:** (631) 689-0300 · **Fax:** (631) 689-1153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2012
- **Other identifiers:** Medicare UPIN F50959 (NY); Medicare OSCAR/certification 13U101
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Source: [NPI Profile](https://npiprofile.com/npi/1699025635) · Data from the CMS NPPES public registry.