SAIMA RAFIQ D.O.
NPI 1851680805
Internal Medicine in Temple Terrace, FL

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 770-6303(888) 977-1998 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 23, 2021, Nov 6, 2019, Oct 17, 2019 (3 updates tracked since 2019).

About Saima Rafiq D.o. NPPES

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

SAIMA RAFIQ D.O. (NPI 1851680805) is an individual internal medicine provider in Temple Terrace, Florida, licensed in Florida (OS12421) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1851680805
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAIMA RAFIQCredential: D.O.
Location Address13067 N TELECOM PKWYTemple Terrace, FL 33637-0926
Mailing Address13067 N Telecom PkwyTemple Terrace, FL 33637-0926 · (813) 770-6303 · Fax (888) 977-1998
Fax(888) 977-1998
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateFebruary 23, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1851680805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS12421
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License OS12421 (FL)
13067 N TELECOM PKWY, Temple Terrace, FL 33637

Other Identifiers 2

Other14WL8FL · Florida Blue
Medicaid012847700FL

Accepted 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

Saima Rafiq D.o. 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 ID9234357476
PECOS Enrollment IDI20140829000197
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

3

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

Internal Medicine
13067 N TELECOM PKWY
Temple Terrace, FL 33637
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group

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 2

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.

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.
100 services45 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.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%136 patients4/55-star benchmark: 100%
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.

Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Nurse Practitioner (Adult Health)
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Nurse Practitioner
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637

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 Saima Rafiq's NPI number?

The NPI number for Saima Rafiq is 1851680805. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Saima Rafiq located?

Saima Rafiq practices at 13067 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 770-6303.

What is Saima Rafiq's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Saima Rafiq enrolled in Medicare?

Yes. Saima 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.

Which organizations bill Medicare for Saima Rafiq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saima Rafiq reassigns Medicare benefits to 3 organizations: Pioneer Medical Group, Pl (Temple Terrace, FL), Florida Hospital Physician Group Inc (Tampa, FL) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). 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 Saima Rafiq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saima Rafiq accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Saima 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 Saima Rafiq affiliated with any hospitals?

According to CMS data, Saima Rafiq is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Saima Rafiq was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.