rab Ärztlicher Bereitschaftsdienst
Berlin
Medical House Call
Berlin
Medical guide · Berlin

Private Emergency Doctor Berlin

In Germany the word Notarzt refers strictly to the emergency-medical response to life-threatening conditions via the Berlin fire service on 112. What many patients actually search for when they Google a private emergency doctor is different: acute but non-life-threatening care outside practice hours. Exactly that is what RAB provides on +49 30 550 77 870. This guide explains when you must dial 112 and when a private specialist house call is the right choice.

Reading · 7 min Updated · 2026-05-23

When you must dial 112 immediately

  • Sudden severe chest pain, especially radiating to arm, jaw or back
  • Acute shortness of breath, blue lips or sense of suffocation
  • Unilateral weakness, speech disturbance, facial droop or sudden visual loss (suspected stroke)
  • Unconsciousness, persistent clouded consciousness or seizure
  • Anaphylactic reaction with swelling of throat or tongue, or breathing difficulty
  • Severe persistent bleeding that cannot be controlled
  • Major trauma, fall from height, road traffic injury
  • Acute severe abdominal pain with rigid abdomen or collapse

In doubt, dial 112 — for life-threatening symptoms the public emergency service is the first address.

112, 116117, private doctor: three systems, three jobs

Germany operates a three-tier system of out-of-hospital acute care. Dialling 112 mobilises ambulances, paramedics and, when life-threatening indications apply, an emergency physician. It is the right channel for heart attack, stroke, severe respiratory distress, anaphylaxis, seizures, polytrauma and any condition where every minute counts.

116117 is the nationwide number for the statutory on-call service, intended for statutory-insurance patients with acute but non-life-threatening complaints outside practice hours. Berlin waiting times can run to several hours depending on the day of the week.

Private medicine – RAB on +49 30 550 77 870 – forms the third pillar. It serves private patients, civil-servant insurance holders, self-payers, hotel guests and expats who need acute care without hospitalisation. The separation of these three systems is not academic, it is vital.

When you must dial 112

Sudden severe chest pain radiating into arm, jaw or back; acute shortness of breath; clouded consciousness; unilateral weakness or speech disturbance; major trauma; anaphylactic reactions with breathing difficulty; seizures; heavily bleeding wounds – the only correct number is 112.

The Berlin fire service maintains a dense round-the-clock network of rescue vehicles with typical arrival times under ten minutes. No private house-call service – RAB included – can compete with that system in life-threatening situations, and we never claim to.

If you are unsure, call 112 first. The dispatcher runs structured emergency questioning and decides whether rescue assets are required. In case of doubt: better one call too many than one too few.

When a private specialist visit is the better choice

High fever without respiratory distress, purulent tonsillitis, acute gastroenteritis without shock signs, urinary tract infection with flank pain, acute migraine, hypertensive crisis without neurological deficit, lumbago, febrile infection in the elderly patient, acute bronchitis – these are textbook indications for a private house call.

The benefit: no waiting in an emergency department alongside polytrauma or suspected STEMI. You stay in bed, are examined by a specialist, receive treatment, a prescription and a sick note when needed. Arrival in central Berlin districts is sixty to ninety minutes – slower than 112 but typically faster than the statutory on-call service.

This is not a substitute for emergency services but a way of relieving them: emergency departments can focus on truly critical cases when patients with manageable complaints are treated at home.

How RAB triages and decides

Every call starts with structured symptom screening. Dispatch asks about chief complaint, onset, course, accompanying signs, comorbidities and medications. Any red flag – chest pain with vegetative symptoms, neurological deficit, respiratory distress – is consistently redirected to 112.

If the presentation is compatible with outpatient care, the next available specialist accepts the case. In equivocal situations the physician calls back for a clinical telephone consultation before travelling. This medical pre-triage is an essential safety loop.

On site the physician examines the patient in accordance with the AWMF guidelines for acute care. If the findings turn out to require hospital care after all, transport is organised – via 112 for escalation or via private transport for a stable patient.

Berlin reality: waiting times, emergency rooms, pressure

Berlin emergency departments are chronically overburdened. Charité Campus Mitte, Vivantes Friedrichshain, DRK Westend, Helios Buch – all report regular intake stops. Waits of four to seven hours for non-critical cases are routine. Private insurance does not help in the waiting area.

The statutory on-call service 116117 is an important pillar but frequently saturated in Berlin. House calls via 116117 are possible, but waits of six to twelve hours are common at peak times.

Against this background a private specialist house call is not a luxury but a relief valve – provided it is used correctly and triage remains honest.

Q&A

Frequent questions

Is RAB an emergency-doctor service?

Not in the rescue-service sense. The term Notarzt is legally reserved in Germany for emergency-medical response to life-threatening conditions via 112. RAB is a private house-call service for acute but non-life-threatening complaints. We come to your home, hotel or care facility daily between 6 am and midnight, with a specialist physician, mobile equipment and GOÄ billing. For life-threatening symptoms we consistently refer to 112.

Can I call RAB when I am unsure whether it is an emergency?

Yes, with one important caveat. If there is even the faintest suspicion of heart attack, stroke, pulmonary embolism or anaphylaxis, please dial 112 immediately. If symptoms are unclear but not acutely life-threatening, call us on +49 30 550 77 870 for advice. Dispatch can run an initial assessment with you and either send a house call or redirect you to 112. This triage is part of our duty of care.

How long until a private emergency-doctor alternative arrives?

In central Berlin districts the typical arrival is sixty to ninety minutes from confirmed booking. For Steglitz-Zehlendorf, Spandau or Marzahn-Hellersdorf it can run to ninety to one hundred and twenty minutes. This is considerably slower than rescue services – by design, not by weakness. That is exactly why the separation matters: 112 is for minute-critical situations, the private house call is for complaints that can be controlled over a few hours.

What does a house call at night or on weekends cost?

GOÄ includes surcharges for nighttime, Sundays and public holidays. A house call between 8 and 10 pm is moderately more expensive than during the day; between 10 pm and 6 am significant night surcharges apply. For private and civil-servant insurance this is usually unproblematic – full reimbursement applies when medical necessity is documented. Self-payers should request a cost estimate by phone on +49 30 550 77 870 before booking. No on-site cash or card payment is taken.

Prefer to ask directly?

Phone, WhatsApp or online booking — you reach a person, not a menu.