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MOTASEM REFAAT M.D.
NPI 1780976902
Orthopaedic Surgery - Orthopaedic Trauma in Clovis, CA

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
604 N MAGNOLIA AVE STE 100, CLOVIS, CA 93611(559) 320-0531(559) 320-0539 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Nov 4, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

About Motasem Refaat M.d. NPPES

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

MOTASEM REFAAT M.D. (NPI 1780976902) is an individual orthopaedic trauma provider in Clovis, California, licensed in California (A122720) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains a secondary practice location in Palos Heights.

NPPES Registry Identity

NPI1780976902
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameMOTASEM REFAATCredential: M.D.
Location Address604 N MAGNOLIA AVE STE 100Clovis, CA 93611-9205
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 320-0531
Fax(559) 320-0539
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 5, 2011
Last NPPES UpdateSeptember 30, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1780976902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in CA · A122720✔ Licensed in IL · 036160959
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036160959 (IL), A122720 (CA)
604 N MAGNOLIA AVE STE 100, Clovis, CA 93611
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Secondary Practice Location 1

Location 17600 W College Dr Ste 3Palos Heights, IL 60463-2199 · Phone (708) 361-0600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Motasem Refaat 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 ID1052602257
PECOS Enrollment IDI20231110001125
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

4

Medicare enrollment records show Motasem Refaat reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corp.
1,654 mi
Medicare Defined Swing Bed Unit
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1295066983 (309) 467-2371
Parkview Orthopaedic Group S C
1,722 mi
Specialist
688 CEDAR CROSSING DRIVE
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 47 clinicians in this Medicare group
NPI 1407881469 (815) 727-3030
Cook County
1,722 mi
Primary Care
3250 N ARLINGTON HEIGHTS RD
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1518087428 (847) 934-7969
Prime Healthcare Illinois Medical Group LLC
1,728 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464

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 3

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

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.

ARMEN MARTIROSIAN MD
Orthopaedic Surgery
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
ERIC MICHAEL LINDVALL D.O.
Orthopaedic Surgery (Orthopaedic Trauma)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
CAROLINE THERESA URBANEK
Physician Assistant (Surgical)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
SAMIA GHAFFAR MD INC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 246-5040
NATHAN A HOEKZEMA M.D.
Orthopaedic Surgery (Hand Surgery)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
KAREN PELAYO PALMER NP
Nurse Practitioner
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
MICHAEL ZACHARY ALLEN DO
Orthopaedic Surgery (Orthopaedic Trauma)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
LINDSAY RACHEL BRUSH
Physician Assistant (Surgical)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531

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 Motasem Refaat's NPI number?

The NPI number for Motasem Refaat is 1780976902. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Motasem Refaat located?

Motasem Refaat practices at 604 N Magnolia Ave Ste 100, Clovis, CA 93611. The listed phone number is (559) 320-0531.

What is Motasem Refaat's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Motasem Refaat enrolled in Medicare?

Yes. Motasem Refaat 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 Motasem Refaat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Motasem Refaat reassigns Medicare benefits to 4 organizations: Advocate Health And Hospitals Corp. (Eureka, IL), Parkview Orthopaedic Group S C (New Lenox, IL), Cook County (Arlington Heights, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). 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 Motasem Refaat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Motasem Refaat accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Motasem Refaat 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 Motasem Refaat affiliated with any hospitals?

According to CMS data, Motasem Refaat is affiliated with Presence Saint Joseph Medical Center, John H Stroger Jr Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Motasem Refaat was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.