RASHA HANAFY DO
NPI 1467501783
Family Medicine in Cumberland Foreside, ME

Active since January 09, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 20D2172715 · Waiver
15 SKY VIEW DR, CUMBERLAND FORESIDE, ME 04110(207) 489-7000(207) 781-0004 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Feb 9, 2016 (2 updates tracked since 2016).

About Rasha Hanafy Do NPPES

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

RASHA HANAFY DO (NPI 1467501783) is an individual family medicine provider in Cumberland Foreside, Maine, licensed in Maine (1713) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 26, 2027, and is affiliated with Northern Light Health.

NPPES Registry Identity

NPI1467501783
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRASHA HANAFYCredential: DO
Location Address15 SKY VIEW DRCumberland Foreside, ME 04110-1472
Mailing Address11 Boynton Brook RdSaco, ME 04072-9379 · (207) 489-7000 · Fax (207) 781-0004
Fax(207) 781-0004
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2004
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
NPI 1467501783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · 1713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 1713 (ME)
15 SKY VIEW DR, Cumberland Foreside, ME 04110

Other Identifiers 1

Medicaid404140099ME

Accepted 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

Rasha Hanafy Do 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 ID4183618150
PECOS Enrollment IDI20040413000205
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2172715

Rasha Y Hanafy Do, LLC · Cumberland Foreside, ME
Active · expires Sep 26, 2027
CLIA Number20D2172715
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorRasha Y. Hanafy Do
Laboratory Phone(207) 489-7000
Laboratory LocationRasha Y Hanafy Do, LLC15 Sky View Drive, Cumberland Foreside, ME 04110
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
46 services28 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.
44 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 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.
22 services15 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.
19 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04110 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Reported Quality Measures

Breast Cancer Screening
68%85 patients3/55-star benchmark: 93%
Cervical Cancer Screening
47%76 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
58%104 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
43%165 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
74%87 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
26%27 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
11%27 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%811 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%93 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%245 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%162 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%507 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 7% · 209 patients
7%209 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%49 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 93 patients
Patients totalRate: 14% · 100 patients
12%100 patients3/55-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 5

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

Family Medicine
15 SKY VIEW DR
CUMBERLAND FORESIDE, ME 04110
Family Medicine
15 SKY VIEW DR
CUMBERLAND FORESIDE, ME 04110
Counselor (Mental Health)
15 SKY VIEW DR
CUMBERLAND FORESIDE, ME 04110
Family Medicine
15 SKY VIEW DR
CUMBERLAND FORESIDE, ME 04110
Naturopath
15 SKY VIEW DR
CUMBERLAND FORESIDE, ME 04110

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 Rasha Hanafy's NPI number?

The NPI number for Rasha Hanafy is 1467501783. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Rasha Hanafy located?

Rasha Hanafy practices at 15 Sky View Dr, Cumberland Foreside, ME 04110. The listed phone number is (207) 489-7000.

What is Rasha Hanafy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rasha Hanafy enrolled in Medicare?

Yes. Rasha Hanafy 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.

Does Rasha Hanafy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2172715) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rasha Hanafy accept?

Health plans from Anthem Blue Cross and Blue Shield list Rasha Hanafy 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 Rasha Hanafy affiliated with any hospitals?

According to CMS data, Rasha Hanafy is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Rasha Hanafy was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.