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Dr. Rafel Tappouni, MD

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Specializes in: Diagnostic Radiology

Professional interests include: diverticular disease, liver disease, training, and more.

861 Old Winston Road
Kernersville, NC 27284

(336) 765-5722

Dr. Rafel Tappouni, MD is a diagnostic radiologist in Oak Ridge, NC specializing in diagnostic radiology. Dr. Rafel Tappouni, MD is affiliated with Atrium Health Wake Forest Baptist, H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC, WAKE FOREST BAPTIST IMAGING LLC and WAKE FOREST UNIVERSITY HEALTH SCIENCES.

Office Locations

Address:

1796 Ridge Oaks Drive
Oak Ridge, NC 27310

Address:

265 Executive Park Boulevard
Winston-Salem, NC 27103

Address:

861 Old Winston Road
Kernersville, NC 27284

Some issues Dr. Rafel Tappouni, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

abdominal imaging	443
aspiration	35
CT scan	572
diagnostic procedures	31
gastrointestinal procedures	10
image guided procedures	20
minimally invasive procedures	31
minor procedures	31
MRI (magnetic resonance imaging)	41
pelvic imaging	368
thoracic (chest) imaging	181
ultrasound (sonogram)	3
X-rays	40

**Gender**
Male	382
Female	373

**Ethnicity**
Non-Hispanic White	684
Black	0
Hispanic	32
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	271
From 75 to 84	214
85 and over	88
Less than 65	182

Hypertension	75
High Cholesterol	56
Stroke	10
Ischemic Heart Disease	41
Depression	31
Chronic Kidney Disease	45
Asthma	11
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	26
Chronic Obstructive Pulmonary Disease	19
Diabetes	39
Dementia	9
Cancer	24

abdominal imaging	835
CT scan	600
MRI (magnetic resonance imaging)	39
neck imaging	25
pelvic imaging	488
thoracic (chest) imaging	146
ultrasound (sonogram)	381
vascular procedures	90
women's imaging	11
X-rays	54

**Gender**
Male	581
Female	517

**Ethnicity**
Non-Hispanic White	846
Black	216
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	398
From 75 to 84	234
85 and over	96
Less than 65	370

Hypertension	75
High Cholesterol	55
Stroke	9
Ischemic Heart Disease	45
Depression	35
Chronic Kidney Disease	54
Asthma	11
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	28
Chronic Obstructive Pulmonary Disease	24
Diabetes	42
Dementia	12
Cancer	17

abdominal imaging	945
aspiration	17
CT scan	669
diagnostic procedures	28
image guided procedures	18
minimally invasive procedures	28
minor procedures	28
MRI (magnetic resonance imaging)	106
neck imaging	19
pelvic imaging	575
thoracic (chest) imaging	152
ultrasound (sonogram)	379
vascular procedures	107
women's imaging	10
X-rays	49

**Gender**
Male	1286
Female	1242

**Ethnicity**
Non-Hispanic White	1942
Black	496
Hispanic	0
Asian	0
Other	40
Native American	0

**Age**
From 65 to 74	938
From 75 to 84	534
85 and over	216
Less than 65	840

Hypertension	75
High Cholesterol	56
Stroke	11
Ischemic Heart Disease	42
Depression	35
Chronic Kidney Disease	52
Asthma	19
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	27
Chronic Obstructive Pulmonary Disease	26
Diabetes	40
Dementia	11
Cancer	18

abdominal imaging	1000
aspiration	12
CT scan	724
diagnostic procedures	24
gastrointestinal procedures	10
image guided procedures	13
minimally invasive procedures	24
minor procedures	24
MRI (magnetic resonance imaging)	122
pelvic imaging	586
thoracic (chest) imaging	164
ultrasound (sonogram)	308
vascular procedures	89
X-rays	69

**Gender**
Male	671
Female	626

**Ethnicity**
Non-Hispanic White	1004
Black	226
Hispanic	29
Asian	0
Other	24
Native American	0

**Age**
From 65 to 74	501
From 75 to 84	298
85 and over	101
Less than 65	397

Hypertension	75
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	43
Depression	37
Chronic Kidney Disease	58
Asthma	25
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	27
Chronic Obstructive Pulmonary Disease	24
Diabetes	41
Dementia	13
Cancer	20

abdominal imaging	941
CT scan	725
gastrointestinal procedures	13
MRI (magnetic resonance imaging)	134
neck imaging	23
pelvic imaging	568
thoracic (chest) imaging	179
ultrasound (sonogram)	281
vascular procedures	68
X-rays	94

**Gender**
Male	667
Female	638

**Ethnicity**
Non-Hispanic White	1010
Black	237
Hispanic	28
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	519
From 75 to 84	306
85 and over	118
Less than 65	362

Hypertension	75
High Cholesterol	58
Stroke	9
Ischemic Heart Disease	44
Depression	38
Chronic Kidney Disease	58
Asthma	13
Osteoperosis	9
Atrial Fibrilation	15
Heart Failure	31
Chronic Obstructive Pulmonary Disease	25
Diabetes	42
Dementia	15
Cancer	18

abdominal imaging	774
aspiration	11
CT scan	586
diagnostic procedures	10
image guided procedures	12
minimally invasive procedures	10
minor procedures	10
MRI (magnetic resonance imaging)	125
neck imaging	11
pelvic imaging	485
thoracic (chest) imaging	143
ultrasound (sonogram)	240
vascular procedures	85
X-rays	27

**Gender**
Male	556
Female	471

**Ethnicity**
Non-Hispanic White	812
Black	158
Hispanic	0
Asian	0
Other	26
Native American	0

**Age**
From 65 to 74	429
From 75 to 84	253
85 and over	69
Less than 65	276

Hypertension	75
High Cholesterol	60
Stroke	7
Ischemic Heart Disease	41
Depression	37
Chronic Kidney Disease	59
Asthma	9
Osteoperosis	8
Atrial Fibrilation	14
Heart Failure	28
Chronic Obstructive Pulmonary Disease	23
Diabetes	40
Dementia	15
Cancer	18

abdominal imaging	910
CT scan	837
gastrointestinal procedures	15
MRI (magnetic resonance imaging)	103
pelvic imaging	652
thoracic (chest) imaging	205
ultrasound (sonogram)	188
vascular procedures	52
X-rays	62

**Gender**
Male	599
Female	598

**Ethnicity**
Non-Hispanic White	958
Black	182
Hispanic	0
Asian	0
Other	27
Native American	0

**Age**
From 65 to 74	495
From 75 to 84	298
85 and over	94
Less than 65	310

Hypertension	75
High Cholesterol	58
Stroke	10
Ischemic Heart Disease	38
Depression	37
Chronic Kidney Disease	59
Asthma	9
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	29
Chronic Obstructive Pulmonary Disease	20
Diabetes	38
Dementia	14
Cancer	20

abdominal imaging	913
CT scan	854
diagnostic procedures	9
gastrointestinal procedures	19
minimally invasive procedures	9
minor procedures	9
MRI (magnetic resonance imaging)	168
neck imaging	16
pelvic imaging	686
thoracic (chest) imaging	244
ultrasound (sonogram)	206
vascular procedures	86
X-rays	81

**Gender**
Male	669
Female	588

**Ethnicity**
Non-Hispanic White	994
Black	193
Hispanic	28
Asian	0
Other	31
Native American	0

**Age**
From 65 to 74	536
From 75 to 84	310
85 and over	122
Less than 65	289

Hypertension	75
High Cholesterol	58
Stroke	7
Ischemic Heart Disease	42
Depression	33
Chronic Kidney Disease	59
Asthma	7
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	29
Chronic Obstructive Pulmonary Disease	20
Diabetes	40
Dementia	13
Cancer	22

abdominal imaging	1845
CT scan	1805
gastrointestinal procedures	22
MRI (magnetic resonance imaging)	328
neck imaging	11
pelvic imaging	1383
thoracic (chest) imaging	503
ultrasound (sonogram)	348
vascular procedures	128
X-rays	111

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Rafel Tappouni, MD for Medicare patients.

The highest averages for the top procedures that Dr. Rafel Tappouni, MD treated as a diagnostic radiologist in Oak Ridge, NC were abdominal imaging, CT scan, pelvic imaging and ultrasound (sonogram).

abdominal imaging	960
aspiration	19
CT scan	821
diagnostic procedures	21
gastrointestinal procedures	14
image guided procedures	15
minimally invasive procedures	21
minor procedures	21
MRI (magnetic resonance imaging)	130
neck imaging	17
pelvic imaging	646
thoracic (chest) imaging	213
ultrasound (sonogram)	262
vascular procedures	88
women's imaging	10
X-rays	66

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Rafel Tappouni, MD.

**Gender**
Male	541
Female	505

**Ethnicity**
Black / African American	170
Asian / Pacific Islander	0
Non-Hispanic White	825
Native American / Alaskan Native	0
Hispanic	13
Other	14

**Age**
75 to 84	244
85 and over	90
Less than 65	302
65 to 74	408

Average of Total of Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Rafel Tappouni, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	60
High Cholesterol	46
Stroke	7
Ischemic Heart Disease	33
Depression	28
Chronic Kidney Disease	44
Asthma	10
Osteoporosis	6
Heart Failure	22
Chronic Obstructive Pulmonary Disease	18
Diabetes	32
Atrial Fibrillation	11
Cancer	15
Dementia	10

Education & Training

He completed residency at Beaumont Hospital, Nephrology, Beaumont Hospital, 1996. He is certified by the American Board of Radiology - Diagnostic Radiology, Special Competence in Nuclear Radiology and has a state license in Pennsylvania.

Residency: Beaumont Hospital, Nephrology, Beaumont Hospital, 1996 (1999)

Board Certification: American Board of Radiology - Diagnostic Radiology, Special Competence in Nuclear Radiology

Licensed In: Pennsylvania

Affiliations & Hospitals

Dr. Rafel Tappouni, MD is associated with these hospitals and organizations:

Atrium Health Wake Forest Baptist

H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC

WAKE FOREST BAPTIST IMAGING LLC

WAKE FOREST UNIVERSITY HEALTH SCIENCES

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Rafel Tappouni, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
ARGON MEDICAL DEVICES, INC.	$15 Biopince Ultra $15

**Types of Payments**
Food and Beverage	$15

Research Payments

Dr. Rafel Tappouni, MD has received 4 research payments totaling $1,595.

Biography

Dr. Rafel Tappouni's area of specialization is diagnostic radiology. Areas of particular interest for Dr. Tappouni include abdominal imaging. He is affiliated with Atrium Health Wake Forest Baptist.

Select Year:

Dr. Rafel Tappouni, MD

Office Locations

Some issues Dr. Rafel Tappouni, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Rafel Tappouni, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Research Payments

Biography

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