DR. RAFAL SAAD ALI MD
NPI 1295350767
Internal Medicine - Rheumatology in Allen, TX
About Dr. Rafal Saad Ali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAFAL SAAD ALI MD (NPI 1295350767) is an individual rheumatology provider in Allen, Texas, licensed in Texas (W0501) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Rafal Saad Ali 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.
Medicare Billing Reassignment
Medicare enrollment records show Rafal Ali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 7 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALLEN, TX 75013
ALLEN, TX 75013
ALLEN, TX 75013
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 Rafal Ali's NPI number?
The NPI number for Rafal Ali is 1295350767. It was assigned to this individual provider in the NPPES registry on June 10, 2020.
Where is Rafal Ali located?
Rafal Ali practices at 981 State Highway 121 Ste 3150, Allen, TX 75013. The listed phone number is (972) 798-8553.
What is Rafal Ali's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Rafal Ali enrolled in Medicare?
Yes. Rafal Ali 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 Rafal Ali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafal Ali reassigns Medicare benefits to Arthritis And Rheumatology Institute, PLLC (Allen, TX). 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 Rafal Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafal Ali accept?
Health plans from Blue Cross and Blue Shield of Texas list Rafal Ali 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 Rafal Ali affiliated with any hospitals?
According to CMS data, Rafal Ali is affiliated with Albert Einstein Medical Center.
When was this NPI record last updated?
The NPPES record for Rafal Ali was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Rafal Saad Ali, MD · NPI 1295350767
Rheumatology physician in Allen, Texas. Individual provider, active in the CMS NPPES registry since June 10, 2020.
## Identity
- **NPI:** 1295350767 (Entity type: Individual)
- **Enumerated:** June 10, 2020
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** W0501 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 981 STATE HIGHWAY 121 STE 3150, Allen, TX 75013-6151
- **Phone:** (972) 798-8553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arthritis And Rheumatology Institute, PLLC (NPI 1356819106, Allen, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295350767) · Data from the CMS NPPES public registry.