DR. RAFIA SHAFQAT M.D.
NPI 1558737346
Psychiatry & Neurology - Neurology in Columbus, OH

Active since August 14, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1480 W LANE AVE, COLUMBUS, OH 43221(614) 533-5500(614) 533-5599 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Jan 25, 2022, Sep 13, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Rafia Shafqat M.d. NPPES

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

DR. RAFIA SHAFQAT M.D. (NPI 1558737346) is an individual neurology provider in Columbus, Ohio, licensed in Ohio (35.138605) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Circleville.

NPPES Registry Identity

NPI1558737346
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RAFIA SHAFQATCredential: M.D.
Location Address1480 W LANE AVEColumbus, OH 43221-3919
Mailing Address1480 W Lane AveColumbus, OH 43221-3919 · (614) 533-5500 · Fax (614) 533-5599
Fax(614) 533-5599
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 14, 2015
Last NPPES UpdateMay 7, 20264 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1558737346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OH · 35.138605
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1480 W LANE AVE, Columbus, OH 43221

Secondary Practice Location 1

Location 1600 N Pickaway StCircleville, OH 43113-1447 · Phone (614) 533-5500

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. Rafia Shafqat 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 ID3173859634
PECOS Enrollment IDI20200710003171
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 8

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,790 services13 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.
167 services109 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.
69 services69 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.
38 services36 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
29 services13 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.
28 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Berger Hospital

Acute Care Hospitals · Circleville, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360170
Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology)
1480 W LANE AVE
COLUMBUS, OH 43221
Physician Assistant
1480 W LANE AVE
COLUMBUS, OH 43221
Psychiatry & Neurology (Neurology)
1480 W LANE AVE
COLUMBUS, OH 43221
Psychiatry & Neurology (Clinical Neurophysiology)
1480 W LANE AVE
COLUMBUS, OH 43221
Psychiatry & Neurology (Clinical Neurophysiology)
1480 W LANE AVE
COLUMBUS, OH 43221
Psychiatry & Neurology (Clinical Neurophysiology)
1480 W LANE AVE
COLUMBUS, OH 43221
Psychiatry & Neurology (Neurology)
1480 W LANE AVE
COLUMBUS, OH 43221
Nurse Practitioner (Acute Care)
1480 W LANE AVE
COLUMBUS, OH 43221

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 Rafia Shafqat's NPI number?

The NPI number for Rafia Shafqat is 1558737346. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Rafia Shafqat located?

Rafia Shafqat practices at 1480 W Lane Ave, Columbus, OH 43221. The listed phone number is (614) 533-5500.

What is Rafia Shafqat's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rafia Shafqat enrolled in Medicare?

Yes. Rafia Shafqat 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 Rafia Shafqat accept?

Health plans from CareSource and MedMutual list Rafia Shafqat 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 Rafia Shafqat affiliated with any hospitals?

According to CMS data, Rafia Shafqat is affiliated with Riverside Methodist Hospital, Ohiohealth O'bleness Hospital, Grant Medical Center, Berger Hospital and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rafia Shafqat was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.