DR. MOHAMAD HYTHAM RIFAI MD
NPI 1396787479
Neurological Surgery in Merrillville, IN

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
84.36/100
CMS Quality Rating
200 E 89TH AVE, SUITE 3A, MERRILLVILLE, IN 46410(219) 756-2900(219) 756-2910 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mohamad Hytham Rifai Md NPPES

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

DR. MOHAMAD HYTHAM RIFAI MD (NPI 1396787479) is an individual neurological surgery provider in Merrillville, Indiana, licensed in Indiana (01035906) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1396787479
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MOHAMAD HYTHAM RIFAICredential: MD
Location Address200 E 89TH AVE, SUITE 3AMerrillville, IN 46410-7318
Mailing Address200 E 89th Ave, Suite 3aMerrillville, IN 46410-7318 · (219) 756-2900 · Fax (219) 756-2910
Fax(219) 756-2910
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1396787479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in IN · 01035906
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
200 E 89TH AVE, Merrillville, IN 46410

Other Names 1

Other Name (5)Dr. M. Hytham Rifai Md

Other Identifiers 4

Other087388IN · Anthem
Other140000847IN · Palmetto Rr Medicare
Medicaid100214490AIN
Other129164100IN · Indiana Dept Of Labor

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. Mohamad Hytham Rifai 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 ID6507833654
PECOS Enrollment IDI20101216000329
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 9

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.
276 services110 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.
180 services166 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.
173 services89 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.
83 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
27 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

84.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost30.36

Reported Quality Measures

Advance Care Plan
100%213 patients5/55-star benchmark: 100%
Breast Cancer Screening
94%136 patients5/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
100%61 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%556 patients5/55-star benchmark: 100%
Falls: Plan of Care
100%91 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 70 patients
100%70 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 213 patients
0%213 patients5/55-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.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Acute Care)
200 E 89TH AVE
MERRILLVILLE, IN 46410
Nurse Practitioner
200 E 89TH AVE
MERRILLVILLE, IN 46410
Internal Medicine (Nephrology)
200 E 89TH AVE
MERRILLVILLE, IN 46410
Registered Nurse (Neuroscience)
200 E 89TH AVE
MERRILLVILLE, IN 46410
Clinical Nurse Specialist (Oncology)
200 E 89TH AVE, 2A
MERRILLVILLE, IN 46410
Radiology (Radiation Oncology)
200 E 89TH AVE
MERRILLVILLE, IN 46410
Internal Medicine (Hematology & Oncology)
200 E 89TH AVE, SUITE 2A
MERRILLVILLE, IN 46410
Internal Medicine (Hematology & Oncology)
200 E 89TH AVE, SUITE 2A
MERRILLVILLE, IN 46410

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 Mohamad Rifai's NPI number?

The NPI number for Mohamad Rifai is 1396787479. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Dr. M. Hytham Rifai MD.

Where is Mohamad Rifai located?

Mohamad Rifai practices at 200 E 89th Ave Suite 3A, Merrillville, IN 46410. The listed phone number is (219) 756-2900.

What is Mohamad Rifai's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Mohamad Rifai enrolled in Medicare?

Yes. Mohamad 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.

Is Mohamad Rifai affiliated with any hospitals?

According to CMS data, Mohamad Rifai is affiliated with Methodist Hospitals Inc, St Mary Medical Center Inc and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Mohamad Rifai was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.