DR. RAFAH SALLOUM M.D.
NPI 1457417040
Internal Medicine - Rheumatology in Manalapan, NJ

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.06/100
CMS Quality Rating
219 TAYLORS MILLS RD, MANALAPAN, NJ 07726(732) 414-6001(732) 414-6003 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rafah Salloum M.d. NPPES

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

DR. RAFAH SALLOUM M.D. (NPI 1457417040) is an individual rheumatology provider in Manalapan, New Jersey, licensed in New Jersey (25MA08174300) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1457417040
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RAFAH SALLOUMCredential: M.D.
Location Address219 TAYLORS MILLS RDManalapan, NJ 07726-3255
Mailing AddressPo Box 281Colts Neck, NJ 07722-0281 · (732) 414-6001 · Fax (732) 431-6003
Fax(732) 414-6003
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 28, 2006
Last NPPES UpdateDecember 8, 2014
NPI 1457417040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NJ · 25MA08174300
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
219 TAYLORS MILLS RD, Manalapan, NJ 07726

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. Rafah Salloum 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 ID42472003
PECOS Enrollment IDI20120509000112
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 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.

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.
611 services233 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
132 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
79 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
44 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07726 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

97.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost90.21

Reported Quality Measures

Advance Care Plan
100%311 patients5/55-star benchmark: 100%
Breast Cancer Screening
90%287 patients4/55-star benchmark: 93%
Cervical Cancer Screening
74%243 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
89%433 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%1,819 patients5/55-star benchmark: 100%
e-Prescribing
92%652 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%611 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 514 patients
Patients screened: 98% · 514 patients
39%23 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%411 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
98%128 patients5/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 318 patients
Patients totalRate: 0% · 318 patients
0%318 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 20

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

Counselor
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Social Worker (Clinical)
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Social Worker (Clinical)
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Counselor (Mental Health)
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Counselor (Mental Health)
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Counselor (Mental Health)
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Occupational Therapist
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726
Occupational Therapist (Pediatrics)
219 TAYLORS MILLS RD
MANALAPAN, NJ 07726

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 Rafah Salloum's NPI number?

The NPI number for Rafah Salloum is 1457417040. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Rafah Salloum located?

Rafah Salloum practices at 219 Taylors Mills Rd, Manalapan, NJ 07726. The listed phone number is (732) 414-6001.

What is Rafah Salloum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Rafah Salloum enrolled in Medicare?

Yes. Rafah Salloum 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 Rafah Salloum affiliated with any hospitals?

According to CMS data, Rafah Salloum is affiliated with Riverview Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center, Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Rafah Salloum was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.