DR. RAPHAEL C ZOHN MD
NPI 1699236208
Radiology - Diagnostic Radiology in Valley Stream, NY

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
323 HUNGRY HARBOR RD, VALLEY STREAM, NY 11581(718) 619-2700 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Raphael C Zohn Md NPPES

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

DR. RAPHAEL C ZOHN MD (NPI 1699236208) is an individual diagnostic radiology provider in Valley Stream, New York, licensed in New York (313289-01) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1699236208
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RAPHAEL C ZOHNCredential: MD
Location Address323 HUNGRY HARBOR RDValley Stream, NY 11581-2804
Mailing Address323 Hungry Harbor RdValley Stream, NY 11581-2804
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1699236208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 313289-01
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
323 HUNGRY HARBOR RD, Valley Stream, NY 11581

Secondary Practice Location 1

Location 13600 Minnesota Dr Ste 800Edina, MN 55435-7915 · Phone (952) 595-1100 · Fax (612) 294-4903

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

Dr. Raphael C Zohn 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 ID7113461625
PECOS Enrollment IDI20240625004310, I20260629000898
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

7

Medicare enrollment records show Raphael Zohn reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Body Imaging
1220 HICKSVILLE RD
Seaford, NY 11783
  • Reassigned Medicare billing, New York enrollment
  • 391 clinicians in this Medicare group
Critical Access
20 HARTFORD ST
Houlton, ME 04730
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1508823741 (Maine)
  • 169 clinicians in this Medicare group
Critical Access
420 W HIGH ST
Dowagiac, MI 49047
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Borgess Lee Hospital
  • 133 clinicians in this Medicare group
Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Virtual Radiologic Professionals Of New York PA
  • 37 clinicians in this Medicare group
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, New York and Texas enrollments
  • Also billed through NPI 1487811766 (Texas)
  • 18 clinicians in this Medicare group
Land Transport
408 WENDELL AVE
Lewistown, MT 59457
  • Reassigned Medicare billing, Montana enrollment
  • 173 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 4

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,281 services1,077 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
81 services81 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
62 services54 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11581 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Raphael Zohn's NPI number?

The NPI number for Raphael Zohn is 1699236208. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Raphael Zohn located?

Raphael Zohn practices at 323 Hungry Harbor Rd, Valley Stream, NY 11581. The listed phone number is (718) 619-2700.

What is Raphael Zohn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Raphael Zohn enrolled in Medicare?

Yes. Raphael Zohn 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 organizations bill Medicare for Raphael Zohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Zohn reassigns Medicare benefits to 7 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Southside Faculty Medical Affiliates University Faculty Practice Corp (Seaford, NY), Houlton Regional Hospital (Houlton, ME), Beacon Dowagiac Inc (Dowagiac, MI), Virtual Radiologic Professionals Of New York, P.A. (Edina, MN) and 2 more organizations, listed in the Medicare section above. Each 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 Raphael Zohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphael Zohn accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, CareSource and Health Advantage and 7 other insurers list Raphael Zohn 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 Raphael Zohn affiliated with any hospitals?

According to CMS data, Raphael Zohn is affiliated with Ns/Lij Hs Southside Hospital, Ns/Lij Hs Huntington Hospital, North Shore University Hospital, Northwell Hospital Glen Cove and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Raphael Zohn was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.