DR. NUMAN A ARAFAT MD
NPI 1043210396
Internal Medicine - Pulmonary Disease in Mcallen, TX

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
48.72/100
CMS Quality Rating
500 E RIDGE RD, SUITE 202, MCALLEN, TX 78503(956) 686-5410 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Numan A Arafat Md NPPES

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

DR. NUMAN A ARAFAT MD (NPI 1043210396) is an individual pulmonary disease provider in Mcallen, Texas, licensed in Texas (K0612) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1043210396
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NUMAN A ARAFATCredential: MD
Location Address500 E RIDGE RD, SUITE 202Mcallen, TX 78503-1508
Mailing AddressPo Box 5119Mcallen, TX 78502-5119 · (956) 686-5410
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 28, 2005
Last NPPES UpdateJune 24, 2008
NPI 1043210396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · K0612
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
500 E RIDGE RD, Mcallen, TX 78503

Other Identifiers 3

Medicare UPING19643TX
Medicare ID-Type Unspecified0070AVTX · Medicare Provider Number
Medicaid113662403TX

Accepted Insurance

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

Dr. Numan A Arafat 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.

PECOS PAC ID9234261124
PECOS Enrollment IDI20100712000500
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
878 services181 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.
410 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
141 services125 patients
Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance 32557
This procedure involves removing fluid from your chest cavity, which is the space around your lungs. A small tube is inserted, under image guidance, to drain the fluid. This tube stays in place to prevent fluid buildup, aiding in your breathing and comfort.
16 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

48.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.76
Improvement Activities0
Cost46.72

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims37 services$14.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers62 claims63 services$65.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$31.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 E RIDGE RD, SUITE 201
MCALLEN, TX 78503
Internal Medicine (Pulmonary Disease)
500 E RIDGE RD, SUITE 202
MCALLEN, TX 78503
Nurse Practitioner (Family)
500 E RIDGE RD
MCALLEN, TX 78503
Internal Medicine (Cardiovascular Disease)
500 E RIDGE RD, SUITE 300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD, SUITE #300
MCALLEN, TX 78503
Internal Medicine (Cardiovascular Disease)
500 E RIDGE RD, SUITE 300
MCALLEN, TX 78503
Registered Nurse
500 E RIDGE RD, SUITE #300
MCALLEN, TX 78503
Physician Assistant
500 E RIDGE RD, STE 101
MCALLEN, TX 78503

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 Numan Arafat's NPI number?

The NPI number for Numan Arafat is 1043210396. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Numan Arafat located?

Numan Arafat practices at 500 E Ridge Rd Suite 202, Mcallen, TX 78503. The listed phone number is (956) 686-5410.

What is Numan Arafat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Numan Arafat enrolled in Medicare?

Yes. Numan Arafat 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.

What insurance does Numan Arafat accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Numan Arafat 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 Numan Arafat affiliated with any hospitals?

According to CMS data, Numan Arafat is affiliated with South Texas Health System, Mission Regional Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Numan Arafat was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.