Dr Rafael Amaral, MD - Medicare Gastroenterology in Darby, PA

Dr Rafael Amaral, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Darby, Pennsylvania. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Mercy Management Of Southeastern Pennsylvania, Trinity Health Mid-atlantic Medical Group and his current practice location is 1501 Lansdowne Ave, Suite 205, Darby, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 534-6270.

Dr Rafael Amaral is licensed to practice in Pennsylvania (license number MD044931E) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295719060.

Contact Information

Dr Rafael Amaral, MD
1501 Lansdowne Ave, Suite 205,
Darby, PA 19023-1333
(610) 534-6270
(610) 534-6269

Map and Direction




Physician's Profile

Full NameDr Rafael Amaral
GenderMale
SpecialityGastroenterology
Experience37 Years
Location1501 Lansdowne Ave, Darby, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rafael Amaral graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1295719060
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 05/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618924390
  • Enrollment ID: I20050405000634

Medical Identifiers

Medical identifiers for Dr Rafael Amaral such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295719060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD044931E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Management Of Southeastern Pennsylvania145626597489
Trinity Health Mid-atlantic Medical Group7416861885333

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rafael Amaral allows following entities to bill medicare on his behalf.
Entity NameMercy Management Of Southeastern Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427573492
PECOS PAC ID: 1456265974
Enrollment ID: O20040309000333
Entity NameTrinity Health Mid-atlantic Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093771271
PECOS PAC ID: 7416861885
Enrollment ID: O20040326000613

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rafael Amaral is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rafael Amaral, MD
41 University Dr Ste 106,
Newtown, PA 18940-1873

Ph: () -
Dr Rafael Amaral, MD
1501 Lansdowne Ave, Suite 205,
Darby, PA 19023-1333

Ph: (610) 534-6270

Reviews and Comments


Internal Medicine Doctors in Darby, PA

Dr. William B Mcnamee Jr., M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1503 Lansdowne Ave, Suite 3010, Darby, PA 19023
Phone: 610-237-5817    Fax: 610-237-5802
Dr. Andrew W Mcginnis, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Lansdowne Ave, Suite 104, Darby, PA 19023
Phone: 610-534-6150    
Dr. Michael Kevin Mcgarry Jr., M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Lansdowne Ave, Darby, PA 19023
Phone: 610-237-4000    
Dhruvan Nimish Patel, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Lansdowne Ave, Darby, PA 19023
Phone: 610-237-4000    
Dr. Kevin Ernest Leahy, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1500 Lansdowne Ave, Darby, PA 19023
Phone: 610-237-4000    
Sohiel Deshpande, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Lansdowne Ave, Darby, PA 19023
Phone: 610-237-4000    
Celsus Iegbeojai Ebba, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 869 Main St, Darby, PA 19023
Phone: 610-461-2440    Fax: 610-461-2475

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.