DR. RAWIYA ELRUFAY MD
NPI 1427182047
Internal Medicine - Critical Care Medicine in Winchester, VA

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
86.13/100
CMS Quality Rating
1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-8000 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Aug 17, 2021 (2 updates tracked since 2021).

About Dr. Rawiya Elrufay Md NPPES

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

DR. RAWIYA ELRUFAY MD (NPI 1427182047) is an individual critical care medicine provider in Winchester, Virginia, licensed in Pennsylvania (MD474830) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1427182047
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. RAWIYA ELRUFAYCredential: MD
Location Address1840 AMHERST STWinchester, VA 22601-2808
Mailing Address4547 Gossamer WayFairfax, VA 22033-3729 · (571) 225-0285
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 15, 2007
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1427182047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD474830
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License A110035 (CA), 57.012183 (OH), D0070672 (MD), 0101247226 (VA)
1840 AMHERST ST, Winchester, VA 22601

Secondary Practice Location 1

Location 13600 Joseph Siewick DrFairfax, VA 22033-1709 · Phone (703) 391-3600

Accepted 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. Rawiya Elrufay 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 ID8123213733
PECOS Enrollment IDI20110930000443, I20121227000392, I20210823000001
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

10

Medicare enrollment records show Rawiya Elrufay reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, District of Columbia enrollment
  • 147 clinicians in this Medicare group
Rheumatology
1840 AMHERST ST STE 1D
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Critical Care Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Emergency Medicine
1301 EDWARDS FERRY RD NE
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
Hospitalist
3600 JOSEPH SIEWICK DR
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 113 clinicians in this Medicare group
Internal Medicine
3228 COLD SPRINGS RD
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Family Medicine
621 W MAIN ST, SUITE 1
Ligonier, PA 15658
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Family Medicine
1220 BROADCASTING RD STE 100
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 72 clinicians in this Medicare group
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 16 clinicians in this Medicare group

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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
60 services29 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

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.

Surgery (Surgical Critical Care)
1840 AMHERST ST
WINCHESTER, VA 22601
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Physician Assistant
1840 AMHERST ST
WINCHESTER, VA 22601
Specialist/Technologist, Other (Surgical Assistant)
1840 AMHERST ST
WINCHESTER, VA 22601
Nurse Anesthetist, Certified Registered
1840 AMHERST ST
WINCHESTER, VA 22601
Social Worker (Clinical)
1840 AMHERST ST
WINCHESTER, VA 22601
Internal Medicine (Critical Care Medicine)
1840 AMHERST ST
WINCHESTER, VA 22601

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 Rawiya Elrufay's NPI number?

The NPI number for Rawiya Elrufay is 1427182047. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Rawiya Elrufay located?

Rawiya Elrufay practices at 1840 Amherst St, Winchester, VA 22601. The listed phone number is (540) 536-8000.

What is Rawiya Elrufay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rawiya Elrufay enrolled in Medicare?

Yes. Rawiya Elrufay 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 Rawiya Elrufay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rawiya Elrufay reassigns Medicare benefits to 10 organizations: Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Valley Physician Enterprise, Inc. (Winchester, VA), Winchester Medical Center (Winchester, VA), Emergency Medicine Associates P.A., P.C. (Leesburg, VA), Fair Oaks Hospitalist Physicians, PLLC (Fairfax, VA) and 5 more organizations, listed in the Medicare section above. 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 Rawiya Elrufay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rawiya Elrufay accept?

Health plans from CareSource list Rawiya Elrufay 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 Rawiya Elrufay affiliated with any hospitals?

According to CMS data, Rawiya Elrufay is affiliated with Geisinger-Community Medical Center, Winchester Medical Center and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Rawiya Elrufay was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.