AMER RAFIAA M.D.
NPI 1427022656
Internal Medicine - Hematology & Oncology in Brooklyn, NY

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
67.81/100
CMS Quality Rating
445 BAY RIDGE PKWY, BROOKLYN, NY 11209(718) 333-5118(718) 333-5240 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amer Rafiaa M.d. NPPES

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

AMER RAFIAA M.D. (NPI 1427022656) is an individual hematology & oncology provider in Brooklyn, New York, licensed in New York (209217) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1427022656
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameAMER RAFIAACredential: M.D.
Location Address445 BAY RIDGE PKWYBrooklyn, NY 11209-2701
Mailing Address445 Bay Ridge PkwyBrooklyn, NY 11209-2701 · (718) 333-5118 · Fax (718) 333-5240
Fax(718) 333-5240
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1427022656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 209217
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
445 BAY RIDGE PKWY, Brooklyn, NY 11209

Other Identifiers 5

OtherP763289Oxford
Medicaid01729262NY
Other2506955Ghi
Other03453PNY · Hip
Other209217-C46Healthfirst

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

Amer Rafiaa 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 ID2961411244
PECOS Enrollment IDI20060413000705
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 25

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,122 services136 patients
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg J2916
Sodium ferric gluconate complex in sucrose injection is a treatment for iron deficiency, often used in patients with kidney problems. The 12.5 mg dose is injected into a vein to help increase iron levels in the body, supporting overall health.
1,830 services36 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
1,234 services112 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.
536 services89 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.
424 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
225 services86 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

67.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.14
Improvement Activities0
Cost67.16

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%82 patients
Breast Cancer Screening
46%127 patients2/55-star benchmark: 93%
Cervical Cancer Screening
51%237 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
2%42 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
41%218 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
54%90 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%52 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%52 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,055 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
37%169 patients2/55-star benchmark: 100%
HIV Screening
5%334 patients1/55-star benchmark: 60%
Oncology: Medical and Radiation - Pain Intensity Quantified
5%76 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%572 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
33%496 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%515 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 57% · 446 patients
57%446 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 194 patients
Patients totalRate: 2% · 194 patients
0%194 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier20 claims357 services$4.37 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier20 claims5,355 services$0.27 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$31.87 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$25.88 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.55 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers33 claims33 services$11.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Amer Rafiaa's NPI number?

The NPI number for Amer Rafiaa is 1427022656. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Amer Rafiaa located?

Amer Rafiaa practices at 445 Bay Ridge Pkwy, Brooklyn, NY 11209. The listed phone number is (718) 333-5118.

What is Amer Rafiaa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Amer Rafiaa enrolled in Medicare?

Yes. Amer Rafiaa 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 Amer Rafiaa affiliated with any hospitals?

According to CMS data, Amer Rafiaa is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Amer Rafiaa was last updated on January 11, 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.