BRUCE RAPHAEL M.D.
NPI 1710988969
Internal Medicine - Hematology & Oncology in New York, NY

Q: What is Bruce Raphael's NPI number?

The NPI number for Bruce Raphael is 1710988969. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Bruce Raphael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Raphael was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

160 E 34TH ST, 7TH FL, NEW YORK, NY 10016(212) 731-5196 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bruce Raphael M.d. NPPES

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

BRUCE RAPHAEL M.D. (NPI 1710988969) is an individual hematology & oncology provider in New York, New York, licensed in New York (131276) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1710988969

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameBRUCE RAPHAELCredential: M.D.

Location Address160 E 34TH ST, 7TH FLNew York, NY 10016-4750

Mailing Address160 E 34th St, 7th FlNew York, NY 10016-4750 · (212) 731-5196

Phone(212) 731-5196

Sole ProprietorNo

Medical School CMSOtherGraduated 1975

Enumeration DateAugust 9, 2005

Last NPPES UpdateAugust 14, 2023

NPPES CertifiedAugust 14, 2023

✔ NPI 1710988969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NY · 131276

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 131276 (NY)

160 E 34TH ST, New York, NY 10016

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Other Identifiers 1

Medicaid00537504NY

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

Bruce Raphael M.d. 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 ID2466415005

PECOS Enrollment IDI20041104001262

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

537 services315 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.

352 services228 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

26 services24 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

25 services24 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

23 services22 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

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.

VERA SZIKLAI RN, MS, L.AC

Clinic/Center (Oncology)

160 E 34TH ST
NEW YORK, NY 10016

New York County (212) 731-5806

KAREN HIOTIS MD

Surgery (Surgical Oncology)

160 E 34TH ST, 4TH FLOOR
NEW YORK, NY 10016

New York County (212) 731-5180

CORRINE A LARKAI PHARMD

Pharmacist (Ambulatory Care)

160 E 34TH ST
NEW YORK, NY 10016

New York County (646) 331-7324

RACHEL KYUNG MEE KIM

Nurse Practitioner (Adult Health)

160 E 34TH ST
NEW YORK, NY 10016

New York County (347) 449-0107

STEPHANIE BLANK MD

Obstetrics & Gynecology (Gynecologic Oncology)

160 E 34TH ST, 4TH FL.
NEW YORK, NY 10016

New York County (212) 731-5345

MELISSA L MARTINEZ NP

Nurse Practitioner (Adult Health)

160 E 34TH ST
NEW YORK, NY 10016

New York County (212) 731-6000

MRS. KRISTINA LAUREN CAPRETTI ANP-BC

Nurse Practitioner (Adult Health)

160 E 34TH ST, 9TH FLOOR
NEW YORK, NY 10016

New York County (212) 731-5673

KATHLEEN ANN O'ROURKE AGPCNP-BC

Nurse Practitioner (Adult Health)

160 E 34TH ST
NEW YORK, NY 10016

New York County (212) 731-6463

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 Bruce Raphael's NPI number?

The NPI number for Bruce Raphael is 1710988969. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Bruce Raphael located?

Bruce Raphael practices at 160 E 34th St 7th Fl, New York, NY 10016. The listed phone number is (212) 731-5196.

What is Bruce Raphael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Bruce Raphael enrolled in Medicare?

Yes. Bruce Raphael 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.

Is Bruce Raphael affiliated with any hospitals?

According to CMS data, Bruce Raphael is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Bruce Raphael was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.