Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAFAT ABONOUR MD
NPI 1750346755
Internal Medicine - Hematology & Oncology in North Miami, FL

Q: What is Rafat Abonour's NPI number?

The NPI number for Rafat Abonour is 1750346755. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Rafat Abonour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Rafat Abonour was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

60.9/100

CMS Quality Rating

2111 SOLE MIA WAY, NORTH MIAMI, FL 33181(305) 243-4000 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Mar 5, 2025, Aug 8, 2024 and 1 more (4 updates tracked since 2020).

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About Rafat Abonour Md NPPES

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

RAFAT ABONOUR MD (NPI 1750346755) is an individual hematology & oncology provider in North Miami, Florida, licensed in Florida (ME176733) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1750346755

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameRAFAT ABONOURCredential: MD

Location Address2111 SOLE MIA WAYNorth Miami, FL 33181-2492

Mailing Address2111 Sole Mia WayNorth Miami, FL 33181-2492 · (305) 243-4000

Phone(305) 243-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateApril 20, 2006

Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1750346755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME176733

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2111 SOLE MIA WAY, North Miami, FL 33181

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Secondary Practice Location 1

Location 18932 SW 97th AveMiami, FL 33176-1936 · Phone (305) 243-4000

Other Identifiers 2

Other000000109892IN · Anthem Ptan

Medicaid200028120IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, CareSource, Florida Blue (BlueCross BlueShield FL) and more.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

Rafat Abonour 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 ID2769519602

PECOS Enrollment IDI20100423000551, I20250923004393

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.

Medicare Billing Reassignments

Medicare enrollment records show Rafat Abonour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami

8.7 mi

Pulmonary Disease

1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1003866617 (305) 243-7688

University Medical Diagnostic Associates, Inc.

1,018 mi

Internal Medicine

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
358 clinicians in this Medicare group

NPI 1861441537 (317) 274-8660

Iu Health Medical Group, LLC

1,018 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

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 7

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.

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.

881 services382 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.

120 services86 patients

Aspiration of bone marrow sample for diagnosis 38220

Bone marrow aspiration is a procedure where a small amount of bone marrow is extracted for testing. This is done by inserting a needle into a large bone, often the hip, and drawing out marrow. It helps diagnose various blood disorders and cancers.

68 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.

62 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.

45 services16 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.

43 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150161

Location11700 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33181 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

60.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

44.25

Promoting Interoperability

Improvement Activities

Cost

10.43

Reported Quality Measures

Colorectal Cancer Screening

32%791 patients2/55-star benchmark: 100%

Controlling High Blood Pressure

63%302 patients3/55-star benchmark: 98%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

46%124 patients3/55-star benchmark: 98%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

50%1,070 patients2/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 726 patients

Patients screened: 93% · 726 patients

26%58 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%620 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

34%292 patients2/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ASHLEY E HUERGO APRN

Nurse Practitioner (Family)