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DR. AMERHA RAFIQ M.D.
NPI 1396726824
Pediatrics in New York, NY

Active since November 10, 2005PECOS Enrolled
215 WEST 125TH STREET, 2ND FLOOR, NEW YORK, NY 10027(212) 491-2400(212) 491-2401 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amerha Rafiq M.d. NPPES

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

DR. AMERHA RAFIQ M.D. (NPI 1396726824) is an individual pediatrics provider in New York, New York, licensed in New York (199762) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396726824
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AMERHA RAFIQCredential: M.D.
Location Address215 WEST 125TH STREET, 2ND FLOORNew York, NY 10027
Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Phone(212) 491-2400
Fax(212) 491-2401
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1396726824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 199762
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.
215 WEST 125TH STREET, New York, NY 10027
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Other Identifiers 1

Medicaid016-39243NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amerha Rafiq M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Amerha Rafiq reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC
1.7 mi
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1336578772 (212) 996-8000

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 10027 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC D WOOD PAC
Physician Assistant
215 WEST 125TH STREET, 2ND FLOOR
NEW YORK, NY 10027
New York County (212) 491-2400
ALANA FIORENTINO RD, CDN
Dietitian, Registered
215 WEST 125TH STREET
NEW YORK, NY 10027
New York County (212) 491-2400
MR. KEITH E DORGAN LMSW
Social Worker
215 WEST 125TH STREET, 2ND FLOOR
NEW YORK, NY 10027
New York County (212) 491-2400
SYDNEY B LEVY RD
Dietitian, Registered
215 WEST 125TH STREET, 2ND FLOOR
NEW YORK, NY 10027
New York County (212) 491-2400

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 Amerha Rafiq's NPI number?

The NPI number for Amerha Rafiq is 1396726824. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Amerha Rafiq located?

Amerha Rafiq practices at 215 West 125th Street 2nd Floor, New York, NY 10027. The listed phone number is (212) 491-2400.

What is Amerha Rafiq's specialty?

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

Is Amerha Rafiq enrolled in Medicare?

Yes. Amerha Rafiq is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amerha Rafiq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amerha Rafiq reassigns Medicare benefits to Advantagecare Physicians PC (New York, NY). 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 Amerha Rafiq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amerha Rafiq was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.