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DR. AHMAD OUSSAMA RIFAI M.D.
NPI 1396741526
Internal Medicine in Panama City, FL

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
615 N BONITA AVE, PANAMA CITY, FL 32401(850) 769-1511 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ahmad Oussama Rifai M.d. NPPES

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

DR. AHMAD OUSSAMA RIFAI M.D. (NPI 1396741526) is an individual internal medicine provider in Panama City, Florida, licensed in Florida (ME78033) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1396741526
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AHMAD OUSSAMA RIFAICredential: M.D.
Location Address615 N BONITA AVEPanama City, FL 32401-3623
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Phone(850) 769-1511
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1396741526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME78033
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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License ME78033 (FL)
615 N BONITA AVE, Panama City, FL 32401
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Other Identifiers 2

Medicaid256548000FL
Other390006271Rrb Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Ahmad Oussama Rifai M.d. 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 ID749241693
PECOS Enrollment IDI20081027000437
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 Reassignments

3

Medicare enrollment records show Ahmad Rifai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hypertension Kidney And Dialysis Specialists
2.5 mi
Nephrology
2507 HARRISON AVE, SUITE 101
Panama City, FL 32405
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1447540612 (850) 215-5911
Sacred Heart Hospital Of Pensacola
96 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500
Intensivist Medicine Services Of Fl, LLC
245 mi
Critical Care Medicine
2901 W SWANN AVE
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
NPI 1235836388 (813) 873-6400

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 7

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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
1,220 services24 patients
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.
999 services232 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.
210 services98 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.
141 services129 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.
104 services98 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
103 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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…
74%185 patients3/55-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 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier24 claims1,800 services$0.33 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$12.63 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.

JANINE JONES ARNP
Nurse Practitioner (Critical Care Medicine)
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (850) 769-1511
ANTHONY JOHN CUROLE II CRNA
Nurse Anesthetist, Certified Registered
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (985) 665-2583
ST ANDREWS BAY EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (850) 760-1511
DR. PETER A MARCO M.D.
Hospitalist
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (850) 769-1511
DR. JUSTIN STRITTMATTER MD
Emergency Medicine
615 N BONITA AVE, EMERGENCY DEPARTMENT
PANAMA CITY, FL 32401
Bay County (850) 747-6000
SHELBI MILBOURN ARNP
Nurse Practitioner (Acute Care)
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (850) 769-1511
CATHARINE H STEPHENSON A.R.N.P.
Nurse Practitioner (Family)
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (850) 747-6659
CEP AMERICA LLC
Emergency Medicine
615 N BONITA AVE
PANAMA CITY, FL 32401
Bay County (850) 769-1511

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 Ahmad Rifai's NPI number?

The NPI number for Ahmad Rifai is 1396741526. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Ahmad Rifai located?

Ahmad Rifai practices at 615 N Bonita Ave, Panama City, FL 32401. The listed phone number is (850) 769-1511.

What is Ahmad Rifai's specialty?

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

Is Ahmad Rifai enrolled in Medicare?

Yes. Ahmad Rifai 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 Ahmad Rifai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Rifai reassigns Medicare benefits to 3 organizations: Hypertension Kidney And Dialysis Specialists (Panama City, FL), Sacred Heart Hospital Of Pensacola (Pensacola, FL) and Intensivist Medicine Services Of Fl, LLC (Tampa, FL). 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 Ahmad Rifai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmad Rifai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Ahmad Rifai 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 Ahmad Rifai affiliated with any hospitals?

According to CMS data, Ahmad Rifai is affiliated with Ascension Sacred Heart Bay and Hca Florida Gulf Coast Hospital.

When was this NPI record last updated?

The NPPES record for Ahmad Rifai was last updated on July 15, 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.