POYAN RAFIEI M.D.
NPI 1225290380
Radiology - Diagnostic Radiology in Katy, TX

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
142 BELLA KATY DR, KATY, TX 77494(214) 886-9338 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2025, Mar 16, 2025, Mar 6, 2025 and 4 more (7 updates tracked since 2024).

About Poyan Rafiei M.d. NPPES

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

POYAN RAFIEI M.D. (NPI 1225290380) is an individual diagnostic radiology provider in Katy, Texas, licensed in Iowa (MD-53250) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225290380
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePOYAN RAFIEICredential: M.D.
Location Address142 BELLA KATY DRKaty, TX 77494-6819
Mailing Address19826 Landon Brook CtKaty, TX 77450-1494 · (214) 886-9338
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateSeptember 23, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1225290380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in IA · MD-53250✔ Licensed in WY · 17046C✔ Licensed in MN · 77094✔ Licensed in ND · 21172✔ Licensed in GU · MC-238
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License P4697 (TX)
142 BELLA KATY DR, Katy, TX 77494

Secondary Practice Locations 4

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-3375 · Fax (319) 356-3949
Location 2500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 887-2847
Location 32305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000
Location 4400 E 3rd StDuluth, MN 55805-1951 · Phone (218) 786-8364

Accepted 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

Poyan Rafiei 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 ID1850517251
PECOS Enrollment IDI20140721001455, I20240820001844, I20240916001381, I20241009001860, I20241015001173, I20241101003048, I20241114001302, I20241211001043, I20250102003207, I20251113001265
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

39

Medicare enrollment records show Poyan Rafiei reassigns Medicare billing to 39 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular & Interventional Radiology
142 BELLA KATY DRIVE
Katy, TX 77494
  • Reassigned Medicare billing, Texas enrollment
Specialist
7777 SOUTHWEST FWY, SUITE 1032
Houston, TX 77074
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 1,278 clinicians in this Medicare group
Primary Care
817 E 6TH ST
Tishomingo, OK 73460
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
  • 324 clinicians in this Medicare group
Diagnostic Radiology
800 S CHURCH ST STE 101
Jonesboro, AR 72401
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Diagnostic Radiology
225 E JACKSON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Critical Access
707 ROLAND ST
Spearman, TX 79081
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
Diagnostic Radiology
1224 TROTWOOD AVE
Columbia, TN 38401
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Diagnostic Radiology
3901 PINE LAKE RD
Lincoln, NE 68516
  • Reassigned Medicare billing, Nebraska and Texas enrollments
  • 48 clinicians in this Medicare group
Diagnostic Radiology
10 E 31ST ST
Kearney, NE 68847
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group

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 23

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
272 services242 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
70 services70 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
60 services59 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
52 services52 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
46 services46 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
39 services39 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160029
Location500 E Market StreetIowa City, IA 52245 · Johnson County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77494 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%103 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%658 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Poyan Rafiei's NPI number?

The NPI number for Poyan Rafiei is 1225290380. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Poyan Rafiei located?

Poyan Rafiei practices at 142 Bella Katy Dr, Katy, TX 77494. The listed phone number is (214) 886-9338.

What is Poyan Rafiei's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Poyan Rafiei enrolled in Medicare?

Yes. Poyan Rafiei 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 Poyan Rafiei's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poyan Rafiei reassigns Medicare benefits to 39 organizations: Poyan Rafiei, MD, PLLC (Katy, TX), Houston Metro Urology (Houston, TX), Singleton Associates PA (Shenandoah, TX), Chickasaw Nation Division Of Health (Tishomingo, OK), St Bernards Physician Clinics Inc (Jonesboro, AR) and 34 more organizations, listed in the Medicare section above. 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 Poyan Rafiei's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poyan Rafiei 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 17 other insurers list Poyan Rafiei 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 Poyan Rafiei affiliated with any hospitals?

According to CMS data, Poyan Rafiei is affiliated with University Of Iowa Health Care Medical Center Down, Mercy Medical Center - Cedar Rapids, Cape Cod Hospital, Spartanburg Medical Center and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Poyan Rafiei was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.