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RAFAEL EDUARDO BERNAL DO
NPI 1912692740
Internal Medicine in Grand Rapids, MI

Active since April 07, 2023PECOS Enrolled
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546(616) 267-8244(616) 267-7272 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2026, Jun 25, 2025, Feb 13, 2025 and 2 more (5 updates tracked since 2023).

About Rafael Eduardo Bernal Do NPPES

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

RAFAEL EDUARDO BERNAL DO (NPI 1912692740) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (5151016209) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912692740
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAFAEL EDUARDO BERNALCredential: DO
Location Address4100 LAKE DR SE STE 200Grand Rapids, MI 49546-8292
Mailing Address4100 Lake Dr Se Ste 200Grand Rapids, MI 49546-8292 · (616) 267-8244 · Fax (616) 267-7272
Phone(616) 267-8244
Fax(616) 267-7272
Sole ProprietorNo
Enumeration DateApril 7, 2023
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1912692740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5151016209
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.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 5151016209 (MI)
4100 LAKE DR SE STE 200, Grand Rapids, MI 49546
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Eduardo Bernal Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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 20

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

MARY BARR NP
Nurse Practitioner
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
AMY LYNN ZOMERLEI NP
Nurse Practitioner (Adult Health)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
STEPHEN THOMAS DOYLE DO
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
HUMNA ABID MEMON M.D.
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANIECE ANN FEUERSTEIN NP
Nurse Practitioner (Gerontology)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
DR. RAVICHAND MADALA M.D.
Internal Medicine (Sleep Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
JOHN RICHARD PARKER PA-C
Physician Assistant
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
ABIGAIL MIA POORT PHARMD
Pharmacist
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3397

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 Bernal's NPI number?

The NPI number for Rafael Bernal is 1912692740. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Rafael Bernal located?

Rafael Bernal practices at 4100 Lake Dr SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 267-8244.

What is Rafael Bernal's specialty?

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

Is Rafael Bernal enrolled in Medicare?

Yes. Rafael Bernal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rafael Bernal was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.