DR. RABIAH RAFIQUE MD
NPI 1396009775
Internal Medicine in Watertown, MA

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
521 MOUNT AUBURN ST, WATERTOWN, MA 02472(617) 744-8542 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Mar 28, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About Dr. Rabiah Rafique Md NPPES

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

DR. RABIAH RAFIQUE MD (NPI 1396009775) is an individual internal medicine provider in Watertown, Massachusetts, licensed in New Hampshire (17230) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Southern Nh Medical Center, and maintains a secondary practice location in Nashua.

NPPES Registry Identity

NPI1396009775
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RABIAH RAFIQUECredential: MD
Location Address521 MOUNT AUBURN STWatertown, MA 02472-4191
Mailing Address521 Mount Auburn StWatertown, MA 02472-4191 · (617) 744-8542
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 29, 2012
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1396009775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NH · 17230 Licensed in MA · 270685
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
521 MOUNT AUBURN ST, Watertown, MA 02472

Secondary Practice Location 1

Location 18 Prospect StNashua, NH 03060-3925 · Phone (603) 577-2000

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

Dr. Rabiah Rafique 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.

PECOS PAC ID6103136221
PECOS Enrollment IDI20151102001710, I20190123002361
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 8

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services135 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
112 services111 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.
47 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services14 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
27 services22 patients

Hospital Affiliations CMS Care Compare

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

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02472 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%448 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier29 claims29 services$16.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier80 claims80 services$85.50 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier51 claims51 services$33.79 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.

Social Worker (Clinical)
521 MOUNT AUBURN ST, SUITE 109
WATERTOWN, MA 02472
Physical Therapist
521 MOUNT AUBURN ST, SUITE 205
WATERTOWN, MA 02472
Physical Therapist
521 MOUNT AUBURN ST
WATERTOWN, MA 02472
Physical Therapist
521 MOUNT AUBURN ST, SUITE 205
WATERTOWN, MA 02472
Internal Medicine (Cardiovascular Disease)
521 MOUNT AUBURN ST, SUITE 204
WATERTOWN, MA 02472
Psychologist
521 MOUNT AUBURN ST, SUITE 107-109
WATERTOWN, MA 02472
Internal Medicine
521 MOUNT AUBURN ST, SUITE 101
WATERTOWN, MA 02472
Obstetrics & Gynecology
521 MOUNT AUBURN ST, STE 103
WATERTOWN, MA 02472

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 Rabiah Rafique's NPI number?

The NPI number for Rabiah Rafique is 1396009775. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Rabiah Rafique located?

Rabiah Rafique practices at 521 Mount Auburn St, Watertown, MA 02472. The listed phone number is (617) 744-8542.

What is Rabiah Rafique's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rabiah Rafique enrolled in Medicare?

Yes. Rabiah Rafique 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 Rabiah Rafique accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Rabiah Rafique 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 Rabiah Rafique affiliated with any hospitals?

According to CMS data, Rabiah Rafique is affiliated with Southern Nh Medical Center.

When was this NPI record last updated?

The NPPES record for Rabiah Rafique was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.