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RAPHAEL MEDICAL SERVICES CORP
NPI 1821566977
Family Medicine in Chicago, IL

Active since November 07, 2018CLIA 14D2164768 · Waiver
6307 S STEWART AVE STE 306, CHICAGO, IL 60621(773) 425-8665(773) 776-8801 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raphael Medical Services Corp NPPES

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

RAPHAEL MEDICAL SERVICES CORP (NPI 1821566977) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Tade Akere, Md/manager, as its authorized official.

NPPES Registry Identity

NPI1821566977
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRAPHAEL MEDICAL SERVICES CORP
Location Address6307 S STEWART AVE STE 306Chicago, IL 60621-3116
Mailing Address1516 Fowler AveEvanston, IL 60201-3955 · (737) 776-8800 · Fax (773) 776-8801
Phone(773) 425-8665
Fax(773) 776-8801
Organization SubpartNo
Authorized OfficialTade AkereMd/manager · (773) 776-8800
Enumeration DateNovember 7, 2018
✔ NPI 1821566977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6307 S STEWART AVE STE 306, Chicago, IL 60621
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Other Identifiers 1

Medicaid036094343IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raphael Medical Services Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Raphael Medical Services Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ayoade Akere, MD
Family Practice
NPI 1538179379
6307 S STEWART AVE STE 306
Chicago, IL 60621
(773) 776-8800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2164768

Raphael Medical Services Inc · Chicago, IL
Active · expires Apr 11, 2027
CLIA Number14D2164768
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorAyoade Akere M D
Laboratory Phone(773) 776-8800
Laboratory LocationRaphael Medical Services Inc6307 S Stewart - Ste 303 304 305, Chicago, IL 60621
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Services Corp's NPI number?

The NPI number for Raphael Medical Services Corp is 1821566977. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is Raphael Medical Services Corp located?

Raphael Medical Services Corp is located at 6307 S Stewart Ave Ste 306, Chicago, IL 60621. The listed phone number is (773) 425-8665.

What is Raphael Medical Services Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raphael Medical Services Corp enrolled in Medicare?

Yes. Raphael Medical Services Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raphael Medical Services Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Raphael Medical Services Corp. 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.

Does Raphael Medical Services Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2164768) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raphael Medical Services Corp was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.