ASHRAF YAHYA ALQAQA MD
NPI 1013295179
Internal Medicine - Cardiovascular Disease in Martin, TN
About Ashraf Yahya Alqaqa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHRAF YAHYA ALQAQA MD (NPI 1013295179) is an individual cardiovascular disease provider in Martin, Tennessee, licensed in Tennessee (51170) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ashraf Yahya Alqaqa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ashraf Alqaqa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Prairie, MO 63845
- Reassigned Medicare billing, Missouri enrollment
- 595 clinicians in this Medicare group
Eagle Butte, SD 57625
- Reassigned Medicare billing, Texas enrollment
- 282 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Cape Girardeau, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ashraf Alqaqa's NPI number?
The NPI number for Ashraf Alqaqa is 1013295179. It was assigned to this individual provider in the NPPES registry on July 23, 2011.
Where is Ashraf Alqaqa located?
Ashraf Alqaqa practices at 143 Kennedy Dr, Martin, TN 38237. The listed phone number is (731) 587-5321.
What is Ashraf Alqaqa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Ashraf Alqaqa enrolled in Medicare?
Yes. Ashraf Alqaqa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ashraf Alqaqa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashraf Alqaqa reassigns Medicare benefits to 2 organizations: Saint Francis Medical Center (East Prairie, MO) and Eagle Butte Indian Health Service Hospital (Eagle Butte, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashraf Alqaqa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashraf Alqaqa accept?
Health plans from Cigna Healthcare list Ashraf Alqaqa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ashraf Alqaqa affiliated with any hospitals?
According to CMS data, Ashraf Alqaqa is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Ashraf Alqaqa was last updated on September 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ashraf Yahya Alqaqa, MD · NPI 1013295179
Cardiovascular Disease physician in Martin, Tennessee. Individual provider, active in the CMS NPPES registry since July 23, 2011.
## Identity
- **NPI:** 1013295179 (Entity type: Individual)
- **Enumerated:** July 23, 2011
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 51170 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 143 KENNEDY DR, Martin, TN 38237-3309
- **Phone:** (731) 587-5321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Francis Medical Center (NPI 1306305222, East Prairie, MO); Eagle Butte Indian Health Service Hospital (NPI 1558395848, Eagle Butte, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 6, 2014
- **Other identifiers:** Medicare PIN 103I061610 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1013295179) · Data from the CMS NPPES public registry.