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DR. AADIL RAFI MD
NPI 1295413060
Pediatrics in Elizabeth City, NC

Active since July 10, 2023PECOS Enrolled
905 THUNDER RD STE 210, ELIZABETH CITY, NC 27909(252) 334-0460(844) 518-0705 Get Directions Write a Review

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

About Dr. Aadil Rafi Md NPPES

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

DR. AADIL RAFI MD (NPI 1295413060) is an individual pediatrics provider in Elizabeth City, North Carolina, licensed in North Carolina (2026-02787) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295413060
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. AADIL RAFICredential: MD
Location Address905 THUNDER RD STE 210Elizabeth City, NC 27909-7724
Mailing Address905 Thunder Rd Ste 210Elizabeth City, NC 27909-7724 · (252) 334-0460 · Fax (844) 518-0705
Phone(252) 334-0460
Fax(844) 518-0705
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 10, 2023
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1295413060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2026-02787
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
905 THUNDER RD STE 210, Elizabeth City, NC 27909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Aadil Rafi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294290995
PECOS Enrollment IDI20260723001225
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 Aadil Rafi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albemarle Physician Services - Sentara, Inc
1.2 mi
Neurology
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1407124654 (252) 384-4804

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Aadil Rafi's NPI number?

The NPI number for Aadil Rafi is 1295413060. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Aadil Rafi located?

Aadil Rafi practices at 905 Thunder Rd Ste 210, Elizabeth City, NC 27909. The listed phone number is (252) 334-0460.

What is Aadil Rafi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Aadil Rafi enrolled in Medicare?

Yes. Aadil Rafi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aadil Rafi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aadil Rafi reassigns Medicare benefits to Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC). 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 Aadil Rafi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aadil Rafi accept?

Health plans from Cigna Healthcare list Aadil Rafi 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.

When was this NPI record last updated?

The NPPES record for Aadil Rafi was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.