Rafi T Kevorkian (NPI# 1124073630, PAC ID# 3274433560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124073630 |
| PAC ID by PECOS | 3274433560 |
| Professional Enrollment ID | I20040112000343 |
| Full Name | Rafi T Kevorkian |
| Address |
522 N New Ballas Rd Suite 317 Saint Louis MO 63141-6840 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 522 N New Ballas Rd, Suite 317, Saint Louis, MO 63141-6840 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
522 N NEW BALLAS RD SUITE 317 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63141-6840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akgun Ince | Rheumatology | Arthritis Consultants Inc | 522 N New Ballas Rd, Suite 240, Saint Louis, MO 63141-6819 |
| Jamie L Griffith | Nurse Practitioner | Jason B. Amato, Md Dermatology, LLC | 522 N New Ballas Rd, Suite 203, Saint Louis, MO 63141-6819 |
| Elaine M Zobrist | Nurse Practitioner | Arthritis Consultants Inc | 522 N New Ballas Rd, Suite 240, Saint Louis, MO 63141-6819 |
| Sara E Taylor | Optometry | Hill Vision Services LLC | 522 N New Ballas Rd, Suite 113, Creve Coeur, MO 63141-6820 |
| Timothy Blankenship | Optometry | Hill Vision Services LLC | 522 N New Ballas Rd, Suite 113, Creve Coeur, MO 63141-6820 |
| Jeffrey Robert Padousis | Ophthalmology | Ophthalmology West, Inc. | 522 N New Ballas Rd, Suite 136, Saint Louis, MO 63141-6820 |
| Christine Donahue Dill | Nurse Practitioner | Jason B. Amato, Md Dermatology, LLC | 522 N New Ballas Rd, Suite 203, Saint Louis, MO 63141-6819 |
| Elsa D Gutierrez | Dermatology | 522 N New Ballas Rd, Suite 180, Saint Louis, MO 63141-6828 | |
| Nigel B Darvell | Clinical Social Worker | Mid-america Psychiatric Consultants LLC | 522 N New Ballas Rd, Suite 334, Saint Louis, MO 63141-6840 |
| Jason B Amato | Dermatology | Jason B. Amato, Md Dermatology, LLC | 522 N New Ballas Rd, Suite 203, Saint Louis, MO 63141-6819 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Rafi T Kevorkian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.