RAFAEL FLETES M.D.
NPI 1952306466
Internal Medicine - Nephrology in Merrillville, IN

Q: What is Rafael Fletes's NPI number?

The NPI number for Rafael Fletes is 1952306466. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Rafael Fletes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Fletes was last updated on December 14, 2022. 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 June 21, 2005PECOS EnrolledAccepts Medicare Assignment

90 W 86TH AVE, MERRILLVILLE, IN 46410(219) 791-1555(197) 911-5602 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2022, Nov 13, 2020, Dec 13, 2018 and 1 more (4 updates tracked since 2017).

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About Rafael Fletes M.d. NPPES

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

RAFAEL FLETES M.D. (NPI 1952306466) is an individual nephrology provider in Merrillville, Indiana, licensed in Indiana (01057911A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1991).

NPPES Registry Identity

NPI1952306466

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameRAFAEL FLETESCredential: M.D.

Location Address90 W 86TH AVEMerrillville, IN 46410-7086

Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000 · Fax (630) 491-5472

Phone(219) 791-1555

Fax(197) 911-5602

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1991

Enumeration DateJune 21, 2005

Last NPPES UpdateDecember 14, 20224 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1952306466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IN · 01057911A

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

90 W 86TH AVE, Merrillville, IN 46410

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Other Identifiers 1

Medicaid200444970IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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 Fletes 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 ID6103990833

PECOS Enrollment IDI20080729000776

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 13

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.

852 services352 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.

453 services224 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

431 services64 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.

317 services166 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.

172 services157 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

124 services33 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

101 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

93 services88 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

40 services16 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.

30 services30 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.

30 services25 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.

18 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150008

Location4321 Fir StreetEast Chicago, IN 46312 · Lake County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150165

Location701 Superior AveMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers12 claims360 services$2.74 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers13 claims13 services$189.85 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$10.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 14

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

KATRINA E WRIGHT MD

Internal Medicine (Nephrology)

90 W 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

CINDY CHAPMAN NURSE PRACTITIONER

Nurse Practitioner (Family)

90 W 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

ALI KHEIRBEK MD

Internal Medicine (Nephrology)

90 W 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

KATHLEEN WALLACE APN

Nurse Practitioner

90 W 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

DR. KEVIN ANDRE MYRIE M.D,

Internal Medicine (Nephrology)

90 W 86TH AVE, NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

YVES FRANTZ BRIGNOL MBA/HA, CMC

Internal Medicine (Nephrology)

90 W 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

DAVID CURTIS PARRISH

Nurse Practitioner (Family)

90 W 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

KENNETH LEE CHOI MD

Internal Medicine (Nephrology)

90 W 86TH AVE, NANI, LTD
MERRILLVILLE, IN 46410

Lake County (219) 791-1555

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 Fletes's NPI number?

The NPI number for Rafael Fletes is 1952306466. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Rafael Fletes located?

Rafael Fletes practices at 90 W 86th Ave, Merrillville, IN 46410. The listed phone number is (219) 791-1555.

What is Rafael Fletes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rafael Fletes enrolled in Medicare?

Yes. Rafael Fletes 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 Fletes accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Rafael Fletes 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 Fletes affiliated with any hospitals?

According to CMS data, Rafael Fletes is affiliated with St Catherine Hospital Inc, Franciscan Health Dyer, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Rafael Fletes was last updated on December 14, 2022. 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.