RAFIA ZAFAR MD
NPI 1528551504
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rochester, NY

Q: What is Rafia Zafar's NPI number?

The NPI number for Rafia Zafar is 1528551504. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Rafia Zafar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Rafia Zafar was last updated on December 5, 2023. 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.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

2655 RIDGEWAY AVE STE 220, ROCHESTER, NY 14626(585) 368-4560 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, Jun 13, 2018 (2 updates tracked since 2018).

On this page

About Rafia Zafar Md NPPES

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

RAFIA ZAFAR MD (NPI 1528551504) is an individual endocrinology, diabetes & metabolism provider in Rochester, New York, licensed in New York (313972) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1528551504

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameRAFIA ZAFARCredential: MD

Location Address2655 RIDGEWAY AVE STE 220Rochester, NY 14626-4296

Mailing Address100 Kings Hwy SRochester, NY 14617-5504

Phone(585) 368-4560

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 13, 2018

Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1528551504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NY · 313972

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2655 RIDGEWAY AVE STE 220, Rochester, NY 14626

Open in Google Maps ↗

Secondary Practice Location 1

Location 11555 Long Pond RdRochester, NY 14626-4122 · Phone (585) 723-7746 · Fax (585) 723-7834

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

Rafia Zafar 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 ID2860742897

PECOS Enrollment IDI20231115000194

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 3

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.

100 services65 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.

32 services32 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330073

Location127 North StreetBatavia, NY 14020 · Genesee County

Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330226

Location1555 Long Pond RoadRochester, NY 14626 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Medina Memorial Hospital

Critical Access Hospitals · Medina, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331319

Location200 Ohio StreetMedina, NY 14103 · Orleans County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.19/100

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

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

JOY VALVANO RD

Dietitian, Registered