Dr Robert Ian Raphael, MD - Medicare Pediatric Medicine in Oakland, CA

Dr Robert Ian Raphael, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Oakland, California. He went to University Of California, San Diego School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Ucsf Medical Group Business Services and his current practice location is 3505 Broadway Fl 14, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-1114.

Dr Robert Ian Raphael is licensed to practice in California (license number A81318) 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 1144387408.

Contact Information

Dr Robert Ian Raphael, MD
3505 Broadway Fl 14,
Oakland, CA 94611-5798
(510) 752-1114
Not Available

Map and Direction




Physician's Profile

Full NameDr Robert Ian Raphael
GenderMale
SpecialityPediatric Medicine
Experience23 Years
Location3505 Broadway Fl 14, Oakland, California
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 Robert Ian Raphael attended and graduated from University Of California, San Diego School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1144387408
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 11/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729043963
  • Enrollment ID: I20041129000943

Medical Identifiers

Medical identifiers for Dr Robert Ian Raphael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144387408NPI-NPPES
00A813180MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology A81318 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ucsf Medical Group Business Services37794978701092

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 Robert Ian Raphael allows following entities to bill medicare on his behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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 Robert Ian Raphael 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 Robert Ian Raphael, MD
3505 Broadway Fl 14,
Oakland, CA 94611-5798

Ph: (510) 752-1114
Dr Robert Ian Raphael, MD
3505 Broadway Fl 14,
Oakland, CA 94611-5798

Ph: (510) 752-1114

Reviews and Comments


Pediatrics Doctors in Oakland, CA

Mrs. Natalie Plotkin, MS, ACPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3484    
Rebecca Romanov, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3331    Fax: 510-428-3331
Dr. Theodore John Chaconas, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3237    Fax: 510-601-3979
Dr. Robert E Mines Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5715 Market St, Oakland, CA 94608
Phone: 510-652-5161    Fax: 510-652-4225
Spencer L Magargal, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3000    
Dr. Arathi Lakhole, M.D, M.P.H
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3058    
Kristen Lum, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3000    

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.