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DR. SIDRAH RAFIQ M.D.
NPI 1043665334
Internal Medicine in Hackettstown, NJ

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840(908) 441-1161(908) 441-1152 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2024, Oct 11, 2023, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Sidrah Rafiq M.d. NPPES

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

DR. SIDRAH RAFIQ M.D. (NPI 1043665334) is an individual internal medicine provider in Hackettstown, New Jersey, licensed in New Jersey (25MA11837800) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043665334
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SIDRAH RAFIQCredential: M.D.
Location Address651 WILLOW GROVE STHackettstown, NJ 07840-1799
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495
Phone(908) 441-1161
Fax(908) 441-1152
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 25, 2016
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1043665334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11837800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA11837800 (NJ)
651 WILLOW GROVE ST, Hackettstown, NJ 07840
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Sidrah Rafiq 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 ID1759736192
PECOS Enrollment IDI20231004004056
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 Reassignments

2

Medicare enrollment records show Sidrah Rafiq reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Practice Associates Medical Group
19 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
Rutgers Health-Rwj Primary Medicine Group
28 mi
Pediatrics
1 WORLDS FAIR DR
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1497867410 (732) 743-5437

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 2

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.
46 services26 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.
34 services29 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 20

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

MS. CORINNE E REAMER RNFA
Registered Nurse (Registered Nurse First Assistant)
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 850-0608
MRS. CHRISTINE MEISSNER MS RD CNSD
Dietitian, Registered
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 852-5100
MR. JAYMES TESTA PA-C
Physician Assistant (Medical)
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 850-6800
ALI TARHINI
Hospitalist
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 441-1161
DR. GARY JOHN DEVINE D.O.
Internal Medicine
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 441-1161
ERIKA A GORDON DPT
Physical Therapist
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 850-6925
MRS. KAREN WIMBERLY L.C.S.W.
Social Worker (Clinical)
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 850-6812
ROBERT FORREST MD
Anesthesiology
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Warren County (908) 852-5100

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 Sidrah Rafiq's NPI number?

The NPI number for Sidrah Rafiq is 1043665334. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Sidrah Rafiq located?

Sidrah Rafiq practices at 651 Willow Grove St, Hackettstown, NJ 07840. The listed phone number is (908) 441-1161.

What is Sidrah Rafiq's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sidrah Rafiq enrolled in Medicare?

Yes. Sidrah Rafiq 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 Sidrah Rafiq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidrah Rafiq reassigns Medicare benefits to 2 organizations: Practice Associates Medical Group (Morristown, NJ) and Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ). 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 Sidrah Rafiq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidrah Rafiq accept?

Health plans from Oscar Health list Sidrah Rafiq 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 Sidrah Rafiq affiliated with any hospitals?

According to CMS data, Sidrah Rafiq is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Sidrah Rafiq was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.