ADAM RAFI
NPI 1356640825
Internal Medicine - Interventional Cardiology in Quincy, IL

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Rafi NPPES

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

ADAM RAFI (NPI 1356640825) is an individual interventional cardiology provider in Quincy, Illinois, licensed in Illinois (036148240) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of University Of South Florida College Of Medicine (2011).

NPPES Registry Identity

NPI1356640825
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameADAM RAFI
Location Address1025 MAINE STQuincy, IL 62301
Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1356640825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IL · 036148240
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1025 MAINE ST, Quincy, IL 62301

Accepted Insurance

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

Adam Rafi 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 ID2365767134
PECOS Enrollment IDI20190607001163, I20191231001017, I20210125000907
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 48

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.

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.
1,035 services714 patients
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.
939 services228 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
660 services165 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
562 services348 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
480 services430 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
441 services429 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141315
Location640 W WashingtonPittsfield, IL 62363 · Pike County
Emergency services

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO
OwnershipGovernment - Local
CMS Certification Number261333
Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers16 claims16 services$39.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$104.11 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims75 services$2.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$19.41 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers25 claims25 services$18.03 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers28 claims28 services$46.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301

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 Adam Rafi's NPI number?

The NPI number for Adam Rafi is 1356640825. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Adam Rafi located?

Adam Rafi practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Adam Rafi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Adam Rafi enrolled in Medicare?

Yes. Adam Rafi 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.

What insurance does Adam Rafi accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Adam 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.

Is Adam Rafi affiliated with any hospitals?

According to CMS data, Adam Rafi is affiliated with Blessing Hospital, Memorial Hospital, Illini Community Hospital, Hannibal Regional Hospital and Pike County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adam Rafi was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.