ALI RAFATNIA
NPI 1346878717
Family Medicine in Henderson, NV

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052(702) 407-7700(702) 407-7016 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jan 3, 2024, Mar 31, 2020 (3 updates tracked since 2020).

About Ali Rafatnia NPPES

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

ALI RAFATNIA (NPI 1346878717) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (25751) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - San Martin Campus, and is a graduate of Un Of California, Irvine, College Of Medicine (2023).

NPPES Registry Identity

NPI1346878717
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALI RAFATNIA
Location Address10624 S EASTERN AVE # A-955Henderson, NV 89052-2982
Mailing Address10624 S Eastern Ave # A-955Henderson, NV 89052-2982 · (702) 407-7700 · Fax (702) 407-7016
Fax(702) 407-7016
Sole ProprietorYes
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2023
Enumeration DateMarch 31, 2020
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1346878717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NV · 25751 Licensed in CA · A191713 Licensed in AR · E-14974
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10624 S EASTERN AVE # A-955, Henderson, NV 89052

Other Identifiers 1

Medicaid1346878717NV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Ali Rafatnia 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 ID2668893009
PECOS Enrollment IDI20231115002192, I20240926002943
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 3

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services24 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290053
Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Nurse Practitioner (Primary Care)
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052

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 Ali Rafatnia's NPI number?

The NPI number for Ali Rafatnia is 1346878717. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Ali Rafatnia located?

Ali Rafatnia practices at 10624 S Eastern Ave # A-955, Henderson, NV 89052. The listed phone number is (702) 407-7700.

What is Ali Rafatnia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ali Rafatnia enrolled in Medicare?

Yes. Ali Rafatnia 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 Ali Rafatnia affiliated with any hospitals?

According to CMS data, Ali Rafatnia is affiliated with Saint Rose Dominican Hospitals - San Martin Campus.

When was this NPI record last updated?

The NPPES record for Ali Rafatnia was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.