Rafael Fletes, MD - Medicare Nephrology in Merrillville, IN

Rafael Fletes, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Merrillville, Indiana. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Nephrology Associates Of Northern Indiana Pc and his current practice location is 90 W 86th Ave, Merrillville, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 791-1555.

Rafael Fletes is licensed to practice in Indiana (license number 01057911A) 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 1952306466.

Contact Information

Rafael Fletes, MD
90 W 86th Ave,
Merrillville, IN 46410-7086
(219) 791-1555
(197) 911-5602

Map and Direction




Physician's Profile

Full NameRafael Fletes
GenderMale
SpecialityNephrology
Experience33 Years
Location90 W 86th Ave, Merrillville, Indiana
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:
  • Rafael Fletes attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1952306466
  • Provider Enumeration Date: 06/21/2005
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103990833
  • Enrollment ID: I20080729000776

Medical Identifiers

Medical identifiers for Rafael Fletes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952306466NPI-NPPES
200444970MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 01057911A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - DyerDyer, INDialysis facility
Davita - MunsterMunster, INDialysis facility
Community HospitalMunster, INHospital
Franciscan Health Crown PointCrown point, INHospital
Franciscan Health DyerDyer, INHospital
Franciscan Health MunsterMunster, INHospital
St Catherine Hospital IncEast chicago, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nephrology Associates Of Northern Indiana Pc892103344072

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. Rafael Fletes allows following entities to bill medicare on his behalf.
Entity NameNephrology Associates Of Northern Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578505814
PECOS PAC ID: 8921033440
Enrollment ID: O20051003000799
Entity NameNephrology Associates Of Northern Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124069182
PECOS PAC ID: 2163328675
Enrollment ID: O20170705000259

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. Rafael Fletes 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
Rafael Fletes, MD
120 W 22nd St Ste 200,
Oak Brook, IL 60523-1563

Ph: (630) 573-5000
Rafael Fletes, MD
90 W 86th Ave,
Merrillville, IN 46410-7086

Ph: (219) 791-1555

Reviews and Comments


Internal Medicine Doctors in Merrillville, IN

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Stephanie D Marshall, DO
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Phone: 192-472-8990    Fax: 219-472-0270

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.