MS. NILA RAFIQ MD
NPI 1568655959
Hospitalist in Falls Church, VA

Active since August 20, 2007PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE, FALLS CHURCH, VA 22042(703) 776-3582 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1568655959
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMS. NILA RAFIQCredential: MD
Location Address3300 GALLOWS ROAD, DEPARTMENT OF MEDICINEFalls Church, VA 22042-3307
Mailing Address3300 Gallows Road, Department Of MedicineFalls Church, VA 22042-3307 · (703) 776-3582
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 20, 2007
Last NPPES UpdateNovember 19, 2018
NPI 1568655959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in VA · 0101241927
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101241927 (VA)
3300 GALLOWS ROAD, Falls Church, VA 22042

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

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.

PECOS PAC ID749377919
PECOS Enrollment IDI20071105000279
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 4

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
273 services106 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services32 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

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, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician 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.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Pediatrics (Neonatal-Perinatal Medicine)
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Nurse Practitioner (Adult Health)
3300 GALLOWS ROAD, PHYSICIAN BILLING
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Internal Medicine
3300 GALLOWS ROAD, KAISER HSM OFFICE
FALLS CHURCH, VA 22042
Internal Medicine
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Pharmacist
3300 GALLOWS ROAD
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.

What insurance does Nila Rafiq accept?

Health plans from Imperial Insurance Companies, Inc. 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 with the weekly NPPES data releases published by CMS.