Dr Oren Simantov Raphael, MD - Medicare Internal Medicine in Santa Monica, CA

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Dr Oren Simantov Raphael, MD is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" physician in Santa Monica, California. His current practice location is 2021 Santa Monica Blvd Ste 245e, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 829-8975.

Dr Oren Simantov Raphael is licensed to practice in California (license number A152831) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255726485.

Contact Information

Dr Oren Simantov Raphael, MD
2021 Santa Monica Blvd Ste 245e,
Santa Monica, CA 90404-2132
(310) 829-8975
Not Available

Map and Direction




Physician's Profile

Full NameDr Oren Simantov Raphael
GenderMale
SpecialityInternal Medicine - Hospice And Palliative Medicine
Location2021 Santa Monica Blvd Ste 245e, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255726485
  • Provider Enumeration Date: 04/03/2015
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123405198
  • Enrollment ID: I20220512000748

Medical Identifiers

Medical identifiers for Dr Oren Simantov Raphael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255726485NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A152831 (California)Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine A152831 (California)Primary

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 Oren Simantov Raphael allows following entities to bill medicare on his behalf.
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770093734
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904
Entity NameAmerican Wound Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881417889
PECOS PAC ID: 8729514054
Enrollment ID: O20241210004806
Entity NameEpic Woundcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265248413
PECOS PAC ID: 1254851975
Enrollment ID: O20250225003318

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 Oren Simantov 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 Oren Simantov Raphael, MD
6345 Balboa Blvd Ste 315,
Encino, CA 91316-1500

Ph: (818) 774-3040		Dr Oren Simantov Raphael, MD
2021 Santa Monica Blvd Ste 245e,
Santa Monica, CA 90404-2132

Ph: (310) 829-8975

Reviews and Comments


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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.