UMMARA RAFAT MD
NPI 1275095234
Internal Medicine - Endocrinology, Diabetes & Metabolism in Palos Heights, IL

Q: What is Ummara Rafat's NPI number?

The NPI number for Ummara Rafat is 1275095234. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Ummara Rafat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Ummara Rafat was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 01, 2019PECOS EnrolledAccepts Medicare Assignment

12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-4000(708) 923-5859 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Apr 1, 2019 (2 updates tracked since 2019).

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About Ummara Rafat Md NPPES

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

UMMARA RAFAT MD (NPI 1275095234) is an individual endocrinology, diabetes & metabolism provider in Palos Heights, Illinois, licensed in Illinois (036161209) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275095234

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameUMMARA RAFATCredential: MD

Location Address12251 S 80TH AVEPalos Heights, IL 60463-1290

Mailing Address12251 S 80th AvePalos Heights, IL 60463-1290 · (708) 923-4000 · Fax (708) 923-5859

Phone(708) 923-4000

Fax(708) 923-5859

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 1, 2019

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1275095234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in IL · 036161209

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

12251 S 80TH AVE, Palos Heights, IL 60463

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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

Ummara Rafat 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 ID7416492681

PECOS Enrollment IDI20240711002905

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

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 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.

43 services15 patients

Hospital Affiliations CMS Care Compare

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

MATTHEW SCOTT KOMINSKY MD

Anesthesiology

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4000

NOOR BADER APRN, CRNA

Nurse Anesthetist, Certified Registered

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-3936

DR. JOSEPH C BREMER JR. M.D.

Emergency Medicine

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5800

MARIKAY T GAZDA LCSW

Social Worker (Clinical)

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4941

MICHAEL J BAUTISTA M.D.

Anesthesiology

12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5700

VALERIE SAFFAR APRN, CNP

Nurse Practitioner

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-5869

WINSTON DANG MD

Hospitalist

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-4000

EMILY MACKANIN PT

Physical Therapist

12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 923-3368

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 Ummara Rafat's NPI number?

The NPI number for Ummara Rafat is 1275095234. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Ummara Rafat located?

Ummara Rafat practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-4000.

What is Ummara Rafat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ummara Rafat enrolled in Medicare?

Yes. Ummara Rafat 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.

Is Ummara Rafat affiliated with any hospitals?

According to CMS data, Ummara Rafat is affiliated with Palos Community Hospital.

When was this NPI record last updated?

The NPPES record for Ummara Rafat was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.