DR. MARYUM RAFIQUE DO
NPI 1538328869
Physical Medicine & Rehabilitation in Bear, DE
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
Specialties & Licenses 2
Other Identifiers 3
Accepted 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. 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.
Medicare Billing Reassignments
8Medicare enrollment records show Maryum Rafique reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bear, DE 19701
- Reassigned Medicare billing, Delaware enrollment
- 6 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 1,531 clinicians in this Medicare group
Wilmington, DE 19808
- Reassigned Medicare billing, Delaware enrollment
- 88 clinicians in this Medicare group
Middletown, DE 19709
- Reassigned Medicare billing, Delaware enrollment
- 18 clinicians in this Medicare group
Hockessin, DE 19707
- Reassigned Medicare billing, Delaware enrollment
- 85 clinicians in this Medicare group
Wilmington, DE 19805
- Reassigned Medicare billing, Delaware enrollment
- 66 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, Delaware enrollment
- 80 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Delaware enrollment
- 41 clinicians in this Medicare group
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 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.
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
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.
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.
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.
Which organizations bill Medicare for Maryum Rafique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryum Rafique reassigns Medicare benefits to 8 organizations: Apico Pain Management, LLC (Bear, DE), Christiana Care Health Services Inc. (Newark, DE), Delaware Post Acute Medical Services 1 (Wilmington, DE), Center For Interventional Pain Spine LLC (Middletown, DE), De Pacs 2 PA (Hockessin, DE) and 3 more organizations, listed in the Medicare section above. 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 Maryum Rafique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryum Rafique accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer 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 22 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.
# Dr. Maryum Rafique, DO · NPI 1538328869
Physical Medicine & Rehabilitation physician in Bear, Delaware. Individual provider, active in the CMS NPPES registry since June 2, 2008.
## Identity
- **NPI:** 1538328869 (Entity type: Individual)
- **Enumerated:** June 2, 2008
- **Primary specialty:** Physical Medicine & Rehabilitation · taxonomy 208100000X
- **State license:** OS015320 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 BECKS WOODS DR STE 201, Bear, DE 19701-3835
- **Phone:** (855) 932-7426
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Apico Pain Management, LLC (NPI 1114667714, Bear, DE); Christiana Care Health Services Inc. (NPI 1215975149, Newark, DE); Delaware Post Acute Medical Services 1 (NPI 1801325717, Wilmington, DE); Center For Interventional Pain Spine LLC (NPI 1144527003, Middletown, DE); De Pacs 2 PA (NPI 1457837981, Hockessin, DE); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2008
## Record status
- **NPPES last updated:** December 8, 2024
- **Other identifiers:** Medicaid 102774532-0003 (PA); Medicaid 102774532-0002 (PA); Medicaid 102774532-0001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1538328869) · Data from the CMS NPPES public registry.