MAGDY Z ROFAIL M.D.
NPI 1033210737
Internal Medicine - Gastroenterology in Richmond, IN

Q: What is Magdy Rofail's NPI number?

The NPI number for Magdy Rofail is 1033210737. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Magdy Rofail's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Magdy Rofail was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 26, 2006PECOS Enrolled

75.14/100

CMS Quality Rating

1080 UNIVERSITY BLVD, RICHMOND, IN 47374(765) 939-2037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Magdy Z Rofail M.d. NPPES

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

MAGDY Z ROFAIL M.D. (NPI 1033210737) is an individual gastroenterology provider in Richmond, Indiana, licensed in Indiana (01043558A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1033210737

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMAGDY Z ROFAILCredential: M.D.

Location Address1080 UNIVERSITY BLVDRichmond, IN 47374-1256

Mailing Address1080 University BlvdRichmond, IN 47374-1256 · (765) 939-2037

Phone(765) 939-2037

Sole ProprietorYes

Medical School CMSOtherGraduated 1975

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033210737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01043558A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1080 UNIVERSITY BLVD, Richmond, IN 47374

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Other Identifiers 2

Medicare UPING00860IN

Medicare ID-Type Unspecified160890IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magdy Z Rofail M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597677054

PECOS Enrollment IDI20110126000270

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.

Medicare Billing Reassignment

Medicare enrollment records show Magdy Rofail reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Magdy Rofail MD PC

Same address

Gastroenterology

1080 UNIVERSITY BLVD
Richmond, IN 47374

Reassigned Medicare billing, Indiana enrollment

NPI 1366759474 (765) 939-2037

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

311 services303 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

293 services212 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

275 services274 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

256 services239 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

175 services175 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

160 services151 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

120 services120 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

85 services83 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

70 services70 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

49 services49 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

38 services38 patients

Control of bleeding of upper large bowel using a flexible endoscope 45382

This procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.

33 services32 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150030

Location1000 N 16th StNew Castle, IN 47362 · Henry County

Emergency services Birthing friendly

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

75.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

48.76

Improvement Activities

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%178 patients

Breast Cancer Screening

1%216 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%203 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

9%383 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

56%951 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%676 patients1/55-star benchmark: 100%

HIV Screening

0%746 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%686 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%690 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

2%939 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 70% · 251 patients

Patients screened: 82% · 251 patients

3%33 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

69%26 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 355 patients

Patients totalRate: 14% · 355 patients

12%355 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID W SMITH M.D.

Internal Medicine