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NAHEED RAFIQ M.D.
NPI 1790104057
Pediatrics in Adrian, MI

Active since April 15, 2014PECOS Enrolled
3245 N ADRIAN HWY STE A, ADRIAN, MI 49221(517) 366-5010(517) 366-5014 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Mar 12, 2019, Mar 13, 2018 (3 updates tracked since 2018).

About Naheed Rafiq M.d. NPPES

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

NAHEED RAFIQ M.D. (NPI 1790104057) is an individual pediatrics provider in Adrian, Michigan, licensed in Michigan (4301113569) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1790104057
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNAHEED RAFIQCredential: M.D.
Location Address3245 N ADRIAN HWY STE AAdrian, MI 49221
Mailing Address1 Seagate Ste 800Toledo, OH 43604-1558 · (517) 366-5010 · Fax (517) 366-5014
Phone(517) 366-5010
Fax(517) 366-5014
Sole ProprietorYes
Enumeration DateApril 15, 2014
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
✔ NPI 1790104057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MI · 4301113569✔ Licensed in OH · 35130968
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3245 N ADRIAN HWY STE A, Adrian, MI 49221
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486

Other Identifiers 3

Medicaid1790104057MI
Medicaid0127901OH
OtherM35150155MI · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Naheed Rafiq M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Naheed Rafiq reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promedica Central Corporation Of Michigan
30 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
NPI 1588624696 (844) 373-0871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49221 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER LYNN LEFEVRE CPNP
Nurse Practitioner (Pediatrics)
3245 N ADRIAN HWY STE A
ADRIAN, MI 49221
Lenawee County (517) 366-5010
AMY HAMMOND MD
Pediatrics
3245 N ADRIAN HWY STE A
ADRIAN, MI 49221
Lenawee County (517) 366-5010
ANGELA FORD
Nurse Practitioner (Family)
3245 N ADRIAN HWY STE A
ADRIAN, MI 49221
Lenawee County (517) 366-5010

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 Naheed Rafiq's NPI number?

The NPI number for Naheed Rafiq is 1790104057. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Naheed Rafiq located?

Naheed Rafiq practices at 3245 N Adrian Hwy Ste A, Adrian, MI 49221. The listed phone number is (517) 366-5010.

What is Naheed Rafiq's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Naheed Rafiq enrolled in Medicare?

Yes. Naheed Rafiq is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Naheed Rafiq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naheed Rafiq reassigns Medicare benefits to Promedica Central Corporation Of Michigan (Toledo, OH). The 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 Naheed Rafiq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naheed Rafiq accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Naheed 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.

When was this NPI record last updated?

The NPPES record for Naheed Rafiq was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.