MS. NILA RAFIQ MD
NPI 1568655959
Hospitalist in Falls Church, VA
About Ms. Nila Rafiq Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NILA RAFIQ MD (NPI 1568655959) is an individual hospitalist provider in Falls Church, Virginia, licensed in Virginia (0101241927) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Ms. Nila Rafiq 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nila Rafiq reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1588717755 (Virginia)
- 2,618 clinicians in this Medicare group
Denver, CO 80205
- Reassigned Medicare billing, Colorado and Virginia enrollments
- 151 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
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 Nila Rafiq's NPI number?
The NPI number for Nila Rafiq is 1568655959. It was assigned to this individual provider in the NPPES registry on August 20, 2007.
Where is Nila Rafiq located?
Nila Rafiq practices at 3300 Gallows Road Department Of Medicine, Falls Church, VA 22042. The listed phone number is (703) 776-3582.
What is Nila Rafiq's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Nila Rafiq enrolled in Medicare?
Yes. Nila Rafiq 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 Nila Rafiq's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nila Rafiq reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and True North Health Navigation LLC (Denver, CO). 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 Nila Rafiq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nila Rafiq accept?
Health plans from Imperial Insurance Companies, Inc. and Oscar Health list Nila Rafiq 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 Nila Rafiq affiliated with any hospitals?
According to CMS data, Nila Rafiq is affiliated with Inova Fairfax Hospital.
When was this NPI record last updated?
The NPPES record for Nila Rafiq was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Nila Rafiq, MD · NPI 1568655959
Hospitalist physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since August 20, 2007.
## Identity
- **NPI:** 1568655959 (Entity type: Individual)
- **Enumerated:** August 20, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 0101241927 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE, Falls Church, VA 22042-3307
- **Phone:** (703) 776-3582
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Inova Health Care Services (NPI 1952320061, Falls Church, VA); True North Health Navigation LLC (NPI 1740622133, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** November 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1568655959) · Data from the CMS NPPES public registry.