DR. NIDAL ABI RAFEH M.D.
NPI 1457506743
Internal Medicine - Interventional Cardiology in Hammond, LA

Q: What is Nidal Abi Rafeh's NPI number?

The NPI number for Nidal Abi Rafeh is 1457506743. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Q: What is Nidal Abi Rafeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Nidal Abi Rafeh was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 01, 2008PECOS EnrolledAccepts Medicare Assignment

79.02/100

CMS Quality Rating

15813 PAUL VEGA MD DR STE 403, HAMMOND, LA 70403(985) 230-7350(985) 230-7351 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Nidal Abi Rafeh M.d. NPPES

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

DR. NIDAL ABI RAFEH M.D. (NPI 1457506743) is an individual interventional cardiology provider in Hammond, Louisiana, licensed in Louisiana (MD.205221) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457506743

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. NIDAL ABI RAFEHCredential: M.D.

Location Address15813 PAUL VEGA MD DR STE 403Hammond, LA 70403-1426

Mailing AddressPo Box 2668Hammond, LA 70404-2668 · (985) 230-7350 · Fax (985) 230-7351

Phone(985) 230-7350

Fax(985) 230-7351

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateDecember 1, 2008

Last NPPES UpdateJuly 7, 2020

NPPES CertifiedJuly 7, 2020

✔ NPI 1457506743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in LA · MD.205221

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD.205221 (LA)

15813 PAUL VEGA MD DR STE 403, Hammond, LA 70403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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. Nidal Abi Rafeh 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 ID2668635137

PECOS Enrollment IDI20120521000064

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

Medicare enrollment records show Nidal Abi Rafeh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Oaks Physician Group, LLC

Same address

Multi-Specialty

15790 PAUL VEGA MD DR
Hammond, LA 70403

Reassigned Medicare billing, Louisiana enrollment
218 clinicians in this Medicare group

NPI 1427035211 (985) 230-3653

North Oaks Medical Center, LLC

Same address

General Acute Care Hospital

15790 PAUL VEGA MD DR
Hammond, LA 70403

Reassigned Medicare billing, Louisiana enrollment
310 clinicians in this Medicare group

NPI 1972630705 (985) 230-1682

Administrators Of The Tulane Education Fund

42 mi

Anatomic Pathology & Clinical Pathology

2000 CANAL ST
New Orleans, LA 70112

Reassigned Medicare billing, Louisiana enrollment
Medicare enrollment name: Administrators Of The Tulane Educational Fund
851 clinicians in this Medicare group

NPI 1790354595 (504) 702-3000

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 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,045 services656 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.

220 services145 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

213 services199 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

49 services44 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

42 services41 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.

36 services36 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

29 services28 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 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

22 services17 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

21 services18 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.

21 services21 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

20 services13 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.

20 services20 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

19 services19 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

17 services15 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

13 services13 patients

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.

12 services12 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190015

Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County

Emergency services Birthing friendly

St Helena Parish Hospital

Critical Access Hospitals · Greensburg, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191300

Location16874 Highway 43Greensburg, LA 70441 · St. Helena County

Emergency services

Hood Memorial Hospital

Critical Access Hospitals · Amite, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191309

Location301 W Walnut StreetAmite, LA 70422 · Tangipahoa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

79.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.5

Promoting Interoperability

100

Improvement Activities

Cost

42.93

Other Providers at the Same Location NPPES 4

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

ALEXANDRA BATTALORA

Nurse Practitioner (Gerontology)

15813 PAUL VEGA MD DR STE 403
HAMMOND, LA 70403

Tangipahoa Parish (985) 230-7350

PATRICK A. DELANEY JR. M.D.

Internal Medicine (Cardiovascular Disease)

15813 PAUL VEGA MD DR STE 403
HAMMOND, LA 70403

Tangipahoa Parish (985) 230-7350

JOSE MENA M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

15813 PAUL VEGA MD DR STE 403
HAMMOND, LA 70403

Tangipahoa Parish (985) 230-7350

ROBERT DERENBECKER MD

Internal Medicine (Clinical Cardiac Electrophysiology)

15813 PAUL VEGA MD DR STE 403
HAMMOND, LA 70403

Tangipahoa Parish (985) 230-7350

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 Nidal Abi Rafeh's NPI number?

The NPI number for Nidal Abi Rafeh is 1457506743. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Nidal Abi Rafeh located?

Nidal Abi Rafeh practices at 15813 Paul Vega MD Dr Ste 403, Hammond, LA 70403. The listed phone number is (985) 230-7350.

What is Nidal Abi Rafeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Nidal Abi Rafeh enrolled in Medicare?

Yes. Nidal Abi Rafeh 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 Nidal Abi Rafeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidal Abi Rafeh reassigns Medicare benefits to 3 organizations: North Oaks Physician Group, LLC (Hammond, LA), North Oaks Medical Center, LLC (Hammond, LA) and Administrators Of The Tulane Education Fund (New Orleans, LA). 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 Nidal Abi Rafeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nidal Abi Rafeh accept?

Health plans from HMO Louisiana list Nidal Abi Rafeh 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 Nidal Abi Rafeh affiliated with any hospitals?

According to CMS data, Nidal Abi Rafeh is affiliated with North Oaks Medical Center, St Helena Parish Hospital and Hood Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nidal Abi Rafeh was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.