SOHEIL NAFEEI M.D.
NPI 1023300696
Emergency Medicine in Hummelstown, PA

Active since May 13, 2011PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1983 GRAMERCY PL, HUMMELSTOWN, PA 17036(301) 351-1121 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soheil Nafeei M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOHEIL NAFEEI M.D. (NPI 1023300696) is an individual emergency medicine provider in Hummelstown, Pennsylvania, licensed in Pennsylvania (MT198932) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1023300696
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSOHEIL NAFEEICredential: M.D.
Location Address1983 GRAMERCY PLHummelstown, PA 17036-7051
Mailing Address1983 Gramercy PlHummelstown, PA 17036-7051 · (301) 351-1121
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 13, 2011
Last NPPES UpdateJuly 17, 2014
NPI 1023300696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · MT198932
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1983 GRAMERCY PL, Hummelstown, PA 17036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Soheil Nafeei M.d. 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.

PECOS PAC ID3274750013
PECOS Enrollment IDI20150213001988
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
354 services342 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
287 services272 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
251 services247 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Improvement Activities40

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 Soheil Nafeei's NPI number?

The NPI number for Soheil Nafeei is 1023300696. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Soheil Nafeei located?

Soheil Nafeei practices at 1983 Gramercy Pl, Hummelstown, PA 17036. The listed phone number is (301) 351-1121.

What is Soheil Nafeei's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Soheil Nafeei enrolled in Medicare?

Yes. Soheil Nafeei 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.

When was this NPI record last updated?

The NPPES record for Soheil Nafeei was last updated on July 17, 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.