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: September 27, 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, I20200811003963
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.

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.

Hospitalist
3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Hospitalist
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Internal Medicine
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS ROAD, PEDIATRIC RESIDENCY OFFICE
FALLS CHURCH, VA 22042
Hospitalist
3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE
FALLS CHURCH, VA 22042
Social Worker (Clinical)
3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
Hospitalist
3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE
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 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.