RAFIK ELBEBLAWY MD
NPI 1205414224
Hospitalist in Decatur, AL

Q: What is Rafik Elbeblawy's NPI number?

The NPI number for Rafik Elbeblawy is 1205414224. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Rafik Elbeblawy's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafik Elbeblawy was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

1201 7TH ST SE, DECATUR, AL 35601(256) 973-2909(256) 973-2552 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Apr 30, 2024, Mar 31, 2021 (3 updates tracked since 2021).

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About Rafik Elbeblawy Md NPPES

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

RAFIK ELBEBLAWY MD (NPI 1205414224) is an individual hospitalist provider in Decatur, Alabama, licensed in Alabama (MD.47996) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205414224

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameRAFIK ELBEBLAWYCredential: MD

Location Address1201 7TH ST SEDecatur, AL 35601-3337

Mailing Address101 Sivley Rd SwHuntsville, AL 35801-4421 · (256) 265-3880 · Fax (256) 265-3886

Phone(256) 973-2909

Fax(256) 973-2552

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 31, 2021

Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1205414224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AL · MD.47996

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1201 7TH ST SE, Decatur, AL 35601

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Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (256) 551-4611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Rafik Elbeblawy 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 ID7214331701

PECOS Enrollment IDI20241024004058

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 3

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.

123 services45 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.

40 services21 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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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.

SANDRA E. BARR CRNA

Nurse Anesthetist, Certified Registered