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DR. REHAN RAFIQ M.D.
NPI 1407924954
Internal Medicine - Gastroenterology in Festus, MO

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
1390 US HIGHWAY 61 STE N3300, FESTUS, MO 63028(636) 937-8675 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jan 14, 2022, Mar 4, 2021 (3 updates tracked since 2021).

About Dr. Rehan Rafiq M.d. NPPES

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

DR. REHAN RAFIQ M.D. (NPI 1407924954) is an individual gastroenterology provider in Festus, Missouri, licensed in Missouri (2008002909) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1407924954
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. REHAN RAFIQCredential: M.D.
Location Address1390 US HIGHWAY 61 STE N3300Festus, MO 63028-4137
Mailing Address1390 Us Highway 61 Ste N3300Festus, MO 63028-4137 · (636) 937-8675
Phone(636) 937-8675
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1407924954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MO · 2008002909✔ Licensed in IL · 036124859
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1390 US HIGHWAY 61 STE N3300, Festus, MO 63028
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Other Identifiers 2

Medicaid02638099NY
Medicaid14079249MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Rehan Rafiq 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 ID2062467756
PECOS Enrollment IDI20080716000299
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 10

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.

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.
72 services66 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.
59 services43 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 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.
42 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
30 services30 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.
29 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

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

SAAD MUKTAR ZINAD M.D
Internal Medicine (Gastroenterology)
1390 US HIGHWAY 61 STE N3300
FESTUS, MO 63028
Jefferson County (636) 937-8675

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 Rehan Rafiq's NPI number?

The NPI number for Rehan Rafiq is 1407924954. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Rehan Rafiq located?

Rehan Rafiq practices at 1390 Us Highway 61 Ste N3300, Festus, MO 63028. The listed phone number is (636) 937-8675.

What is Rehan Rafiq's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rehan Rafiq enrolled in Medicare?

Yes. Rehan Rafiq 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 Rehan Rafiq accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Rehan Rafiq 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 Rehan Rafiq affiliated with any hospitals?

According to CMS data, Rehan Rafiq is affiliated with Mercy Hospital Jefferson, Truman Medical Center Hospital Hill and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Rehan Rafiq was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.