DR. MARYUM RAFIQUE DO
NPI 1538328869
Physical Medicine & Rehabilitation in Bear, DE

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
100 BECKS WOODS DR STE 201, BEAR, DE 19701(855) 932-7426 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2024, Oct 28, 2022, Aug 4, 2021 (3 updates tracked since 2021).

About Dr. Maryum Rafique Do NPPES

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

DR. MARYUM RAFIQUE DO (NPI 1538328869) is an individual physical medicine & rehabilitation provider in Bear, Delaware, licensed in Pennsylvania (OS015320) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1538328869
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. MARYUM RAFIQUECredential: DO
Location Address100 BECKS WOODS DR STE 201Bear, DE 19701-3835
Mailing Address100 Becks Woods Dr Ste 201Bear, DE 19701-3835 · (855) 932-7426 · Fax (833) 392-7426
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2008
Enumeration DateJune 2, 2008
Last NPPES UpdateDecember 8, 20243 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
NPI 1538328869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · OS015320
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License CS0011174 (DE)
100 BECKS WOODS DR STE 201, Bear, DE 19701

Other Identifiers 3

Medicaid102774532-0003PA
Medicaid102774532-0002PA
Medicaid102774532-0001PA

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

Dr. Maryum Rafique 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 ID9931352739
PECOS Enrollment IDI20150320001832
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 29

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
4,002 services416 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,313 services115 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
1,318 services414 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.
866 services333 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.
714 services339 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month 98981
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health remotely. They evaluate data from medical devices, adjust your treatment plan if necessary, and communicate with you about your health. This service is for an additional 20 minutes per month.
521 services97 patients

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%90 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
3 suppliers14 claims14 services$594.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Pain Medicine (Pain Medicine)
100 BECKS WOODS DR STE 201
BEAR, DE 19701
Pain Medicine (Pain Medicine)
100 BECKS WOODS DR STE 201
BEAR, DE 19701

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 Maryum Rafique's NPI number?

The NPI number for Maryum Rafique is 1538328869. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Maryum Rafique located?

Maryum Rafique practices at 100 Becks Woods Dr Ste 201, Bear, DE 19701. The listed phone number is (855) 932-7426.

What is Maryum Rafique's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Maryum Rafique enrolled in Medicare?

Yes. Maryum Rafique 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.

What insurance does Maryum Rafique accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from NH Healthy Families and 3 other insurers list Maryum Rafique 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.

When was this NPI record last updated?

The NPPES record for Maryum Rafique was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.