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RAFI SYED AHMED MD
NPI 1205093028
Internal Medicine - Hematology & Oncology in Irvine, CA

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
16105 SAND CANYON AVE STE 230, IRVINE, CA 92618(949) 764-4060(949) 764-4061 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Nov 21, 2025, Nov 29, 2021 (3 updates tracked since 2021).

About Rafi Syed Ahmed Md NPPES

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

RAFI SYED AHMED MD (NPI 1205093028) is an individual hematology & oncology provider in Irvine, California, licensed in California (A112161) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1205093028
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameRAFI SYED AHMEDCredential: MD
Location Address16105 SAND CANYON AVE STE 230Irvine, CA 92618-3780
Mailing Address16105 Sand Canyon Ave Ste 230Irvine, CA 92618-3780 · (949) 764-4060
Phone(949) 764-4060
Fax(949) 764-4061
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1205093028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A112161
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License A112161 (CA)
16105 SAND CANYON AVE STE 230, Irvine, CA 92618
Open in Google Maps ↗

Other Identifiers 1

Medicaid1205093028CA

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

Rafi Syed Ahmed 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 ID3476712134
PECOS Enrollment IDI20120315000561
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 Rafi Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hoag Clinic
9.3 mi
Primary Care
510 SUPERIOR AVE
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 529 clinicians in this Medicare group
NPI 1942799523 (949) 791-3001

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services12 patients
Infusion, normal saline solution , 1000 cc J7030
An infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

TARA E SEERY
Internal Medicine (Hematology & Oncology)
16105 SAND CANYON AVE STE 230
IRVINE, CA 92618
Orange County (949) 764-5347
POLLYANNA TANG PA-C
Physician Assistant
16105 SAND CANYON AVE STE 230
IRVINE, CA 92618
Orange County (949) 557-0220

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 Rafi Ahmed's NPI number?

The NPI number for Rafi Ahmed is 1205093028. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Rafi Ahmed located?

Rafi Ahmed practices at 16105 Sand Canyon Ave Ste 230, Irvine, CA 92618. The listed phone number is (949) 764-4060.

What is Rafi Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rafi Ahmed enrolled in Medicare?

Yes. Rafi Ahmed 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 organization bills Medicare for Rafi Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafi Ahmed reassigns Medicare benefits to Hoag Clinic (Newport Beach, CA). The 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 Rafi Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafi Ahmed was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.