SARAH RAAFAT RAFLA MD
NPI 1316503931
Family Medicine in Monongahela, PA
About Sarah Raafat Rafla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH RAAFAT RAFLA MD (NPI 1316503931) is an individual family medicine provider in Monongahela, Pennsylvania, licensed in Pennsylvania (MD478734) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Sarah Raafat Rafla 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 Reassignments
3Medicare enrollment records show Sarah Rafla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monongahela, PA 15063
- Reassigned Medicare billing, Pennsylvania enrollment
- 29 clinicians in this Medicare group
Monongahela, PA 15063
- Reassigned Medicare billing, Pennsylvania enrollment
- 59 clinicians in this Medicare group
Connellsville, PA 15425
- Reassigned Medicare billing, Pennsylvania enrollment
- 155 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn Highlands Mon Valley
Acute Care Hospitals · Monongahela, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MONONGAHELA, PA 15063
MONONGAHELA, PA 15063
MONONGAHELA, PA 15063
MONONGAHELA, PA 15063
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 Sarah Rafla's NPI number?
The NPI number for Sarah Rafla is 1316503931. It was assigned to this individual provider in the NPPES registry on May 20, 2019. The provider is also known as Sarah Guirguis MD.
Where is Sarah Rafla located?
Sarah Rafla practices at 1163 Country Club Rd, Monongahela, PA 15063. The listed phone number is (724) 258-1000.
What is Sarah Rafla's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sarah Rafla enrolled in Medicare?
Yes. Sarah Rafla 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 Sarah Rafla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Rafla reassigns Medicare benefits to 3 organizations: Monongahela Valley Hospital, Inc. (Monongahela, PA), Mon Vale Clinical Professionals, Inc. (Monongahela, PA) and Highlands Hospital And Health Center (Connellsville, PA). 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 Sarah Rafla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sarah Rafla accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Sarah Rafla 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 Sarah Rafla affiliated with any hospitals?
According to CMS data, Sarah Rafla is affiliated with Penn Highlands Mon Valley.
When was this NPI record last updated?
The NPPES record for Sarah Rafla was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Sarah Raafat Rafla, MD · NPI 1316503931
Family Medicine physician in Monongahela, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 20, 2019.
## Identity
- **NPI:** 1316503931 (Entity type: Individual)
- **Enumerated:** May 20, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD478734 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1163 COUNTRY CLUB RD, Monongahela, PA 15063-1013
- **Phone:** (724) 258-1000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Monongahela Valley Hospital, Inc. (NPI 1467308957, Monongahela, PA); Mon Vale Clinical Professionals, Inc. (NPI 1013388271, Monongahela, PA); Highlands Hospital And Health Center (NPI 1447443957, Connellsville, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 2, 2026
- **Other identifiers:** Medicaid 104064896 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316503931) · Data from the CMS NPPES public registry.