ZAHI RAFEQ M.D.
NPI 1205981180
Internal Medicine in Worcester, MA

Q: What is Zahi Rafeq's NPI number?

The NPI number for Zahi Rafeq is 1205981180. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Zahi Rafeq's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zahi Rafeq was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 24, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 01605(508) 334-8015 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Zahi Rafeq M.d. NPPES

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

ZAHI RAFEQ M.D. (NPI 1205981180) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (225042) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1205981180

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameZAHI RAFEQCredential: M.D.

Location Address281 LINCOLN ST, MED STAFF SVCSWorcester, MA 01605-2138

Mailing Address281 Lincoln St, Med Staff SvcsWorcester, MA 01605-2138 · (508) 334-8015

Phone(508) 334-8015

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 24, 2007

Last NPPES UpdateFebruary 21, 2020

✔ NPI 1205981180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 225042

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.

281 LINCOLN ST, Worcester, MA 01605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Zahi Rafeq 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 ID2163656679

PECOS Enrollment IDI20131015001884, I20210303000276

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 Zahi Rafeq reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Associates Of The Delaware Valley,p A

238 mi

Cardiovascular Disease

210 W ATLANTIC AVE
Haddon Heights, NJ 08035

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
91 clinicians in this Medicare group

NPI 1366495632 (856) 547-0539

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 28

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

517 services444 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.

353 services252 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

317 services261 patients

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.

281 services226 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

196 services34 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

177 services175 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

150 services31 patients

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 services75 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.

110 services108 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

107 services106 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

104 services103 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

83 services83 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

83 services83 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

71 services71 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.

44 services44 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.

38 services38 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

37 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

31 services31 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.

30 services30 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.

22 services22 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

21 services16 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

20 services14 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

20 services20 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

17 services15 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

17 services16 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

14 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310032

Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County

Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310069

Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County

Emergency services Birthing friendly

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310086

Location18 East Laurel RoadStratford, NJ 08084 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

STACY AILEEN MEULENAERE OTR/L

Occupational Therapist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

RACHEL NOONE PA-C

Physician Assistant

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-6158

DR. THOMAS EVANS M.D.

Emergency Medicine

281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

RAJIV BALASURIYA M.D.

Family Medicine

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

DR. DANIEL LEE M.D., PHD

Internal Medicine (Medical Oncology)

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-1131

MEGAN ELIZABETH KLEIN MS, CCC-SLP

Speech-Language Pathologist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

ANKUR SHAH NARAIN MD

Orthopaedic Surgery

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1955

THOMAS MICHAEL CERVANTES

Plastic Surgery (Surgery of the Hand)

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

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 Zahi Rafeq's NPI number?

The NPI number for Zahi Rafeq is 1205981180. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Zahi Rafeq located?

Zahi Rafeq practices at 281 Lincoln St Med Staff Svcs, Worcester, MA 01605. The listed phone number is (508) 334-8015.

What is Zahi Rafeq's specialty?

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

Is Zahi Rafeq enrolled in Medicare?

Yes. Zahi Rafeq 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 Zahi Rafeq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zahi Rafeq reassigns Medicare benefits to Cardiovascular Associates Of The Delaware Valley,p A (Haddon Heights, NJ). 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 Zahi Rafeq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zahi Rafeq accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Zahi Rafeq 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 Zahi Rafeq affiliated with any hospitals?

According to CMS data, Zahi Rafeq is affiliated with Cooper University Hospital, West Jersey Hospital, Inspira Medical Center Vineland, Inspira Medical Center Mullica Hill and Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Zahi Rafeq was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.