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RAFAEL GARCIA M.D.
NPI 1720020787
Internal Medicine in Westlake, OH

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
30033 CLEMENS RD, WESTLAKE, OH 44145(440) 899-5555 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Garcia M.d. NPPES

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

RAFAEL GARCIA M.D. (NPI 1720020787) is an individual internal medicine provider in Westlake, Ohio, licensed in Ohio (35094046) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1720020787
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAFAEL GARCIACredential: M.D.
Location Address30033 CLEMENS RDWestlake, OH 44145-1021
Mailing Address30033 Clemens RdWestlake, OH 44145-1021 · (440) 899-5555
Phone(440) 899-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 1, 2011
✔ NPI 1720020787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35094046✔ Licensed in FL · ME94853
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30033 CLEMENS RD, Westlake, OH 44145
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Other Identifiers 4

Medicare UPIN7405091OH
Medicaid275243300FL
Medicare UPINI61697FL
Medicaid2997164OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Garcia 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 ID840293486
PECOS Enrollment IDI20091105000280
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 8

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 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.
275 services111 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
107 services51 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.
76 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services62 patients
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.
59 services38 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44145 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 7

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

JESSICA MARIE BROZ P.T.
Physical Therapist (Orthopedic)
30033 CLEMENS RD
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5625
DR. AMAN PANDE M.D.
Internal Medicine (Pulmonary Disease)
30033 CLEMENS RD
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5555
RICHARD WILLIAM PRESSLER M.D.
Family Medicine
30033 CLEMENS RD
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5555
DR. JASON JON KOMITAU M.D.
Family Medicine
30033 CLEMENS RD
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5555
DIANE MARIE VARGO CNP
Nurse Practitioner
30033 CLEMENS RD, CLEVELAND CLINIC
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5555
MARIA SALVACION L. NERI-NIXON MD
Internal Medicine
30033 CLEMENS RD, WL 10
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5555
MR. ROBERT SIMPSON GRAY JR. ATC
Specialist/Technologist (Athletic Trainer)
30033 CLEMENS RD
WESTLAKE, OH 44145
Cuyahoga County (440) 899-5645

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 Garcia's NPI number?

The NPI number for Rafael Garcia is 1720020787. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Rafael Garcia located?

Rafael Garcia practices at 30033 Clemens Rd, Westlake, OH 44145. The listed phone number is (440) 899-5555.

What is Rafael Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rafael Garcia enrolled in Medicare?

Yes. Rafael Garcia 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 Garcia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 3 other insurers list Rafael Garcia 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 Garcia affiliated with any hospitals?

According to CMS data, Rafael Garcia is affiliated with Uh Cleveland Medical Center and University Hospitals Ahuja Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Garcia was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.