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MUHAMMAD HAMZA RAFIQUE M.D
NPI 1235512948
Internal Medicine in Kansas City, KS

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-6475 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Muhammad Hamza Rafique M.d NPPES

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

MUHAMMAD HAMZA RAFIQUE M.D (NPI 1235512948) is an individual internal medicine provider in Kansas City, Kansas, licensed in Kansas (94-08760) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Tidelands Waccamaw Community Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235512948
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUHAMMAD HAMZA RAFIQUECredential: M.D
Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500
Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-6475
Phone(913) 588-6475
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 30, 2015
Last NPPES UpdateOctober 30, 2015
✔ NPI 1235512948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 94-08760
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.
3901 RAINBOW BLVD, Kansas City, KS 66160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.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

Muhammad Hamza Rafique 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 ID5597061481
PECOS Enrollment IDI20260430002830
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

3

Medicare enrollment records show Muhammad Hamza Rafique reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musc Community Physicians
855 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Georgetown Memorial Hospital
940 mi
General Acute Care Hospital
606 BLACK RIVER RD
Georgetown, SC 29440
  • Reassigned Medicare billing, South Carolina enrollment
  • 261 clinicians in this Medicare group
NPI 1982604021 (843) 527-7000
Waccamaw Community Hospital
946 mi
General Acute Care Hospital
4070 HIGHWAY 17 BYPASS
Murrells Inlet, SC 29576
  • Reassigned Medicare billing, South Carolina enrollment
  • 249 clinicians in this Medicare group
NPI 1972503910 (843) 652-1000

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

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.

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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

MRS. KELLI DOUGLAS M.A. CCC-SLP
Speech-Language Pathologist
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6745
MRS. MICHELLE RENEE ALTENHOFEN
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000
TAYLOR AYERS
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000
THERESA HOWARD NP
Nurse Practitioner (Primary Care)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0653
ADITYA KRISHNA DEVARAKONDA MD
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
DR. NELLIE MOUALEU PHD
Psychologist (Counseling)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1300
DR. AUSTIN MITCHELL GARTNER MD
Family Medicine
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1908
DR. ALEXANDER PAUL GABRIELLI MD, PHD
General Practice
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000

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 Muhammad Hamza Rafique's NPI number?

The NPI number for Muhammad Hamza Rafique is 1235512948. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Muhammad Hamza Rafique located?

Muhammad Hamza Rafique practices at 3901 Rainbow Blvd, Kansas City, KS 66160. The listed phone number is (913) 588-6475.

What is Muhammad Hamza Rafique's specialty?

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

Is Muhammad Hamza Rafique enrolled in Medicare?

Yes. Muhammad Hamza Rafique 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 Muhammad Hamza Rafique's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Hamza Rafique reassigns Medicare benefits to 3 organizations: Musc Community Physicians (Bamberg, SC), Georgetown Memorial Hospital (Georgetown, SC) and Waccamaw Community Hospital (Murrells Inlet, SC). 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 Muhammad Hamza Rafique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Hamza Rafique accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Muhammad Hamza Rafique 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 Muhammad Hamza Rafique affiliated with any hospitals?

According to CMS data, Muhammad Hamza Rafique is affiliated with Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Hamza Rafique was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.