ISHRAT Z RAFI MD
NPI 1861451254
Obstetrics & Gynecology in Baltimore, MD

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
72.86/100
CMS Quality Rating
900 CATON AVE, BALTIMORE, MD 21229(667) 234-2507(667) 234-2640 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ishrat Z Rafi Md NPPES

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

ISHRAT Z RAFI MD (NPI 1861451254) is an individual obstetrics & gynecology provider in Baltimore, Maryland, licensed in Maryland (D0056299) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Howard University College Of Medicine (1996).

NPPES Registry Identity

NPI1861451254
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameISHRAT Z RAFICredential: MD
Location Address900 CATON AVEBaltimore, MD 21229
Mailing Address900 Caton AveBaltimore, MD 21229-5201 · (667) 234-2507 · Fax (667) 234-2640
Fax(667) 234-2640
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1996
Enumeration DateMarch 22, 2006
Last NPPES UpdateSeptember 5, 2018
✔ NPI 1861451254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MD · D0056299
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
900 CATON AVE, Baltimore, MD 21229

Secondary Practice Location 1

Location 11001 Pine Heights Ave, Ste 205Baltimore, MD 21229 · Phone (410) 644-2582 · Fax (410) 644-6232

Other Identifiers 3

Other0041MD · Carefirst-dc
Medicaid130009100MD
Other606379-04MD · Carefirst-md

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

Ishrat Z Rafi 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 ID2062403140
PECOS Enrollment IDI20040518001553
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

2

Medicare enrollment records show Ishrat Rafi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
900 CATON AVE
Baltimore, MD 21229
  • Reassigned Medicare billing, Maryland enrollment
  • 372 clinicians in this Medicare group
Internal Medicine
6740 ALEXANDER BELL DR STE 300
Columbia, MD 21046
  • Reassigned Medicare billing, Maryland enrollment
  • 107 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

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.

Anesthesiology
900 CATON AVE
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE, MAILSTOP 134
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE
BALTIMORE, MD 21229
Specialist
900 CATON AVE
BALTIMORE, MD 21229
Family Medicine
900 CATON AVE, MAILBOX #081
BALTIMORE, MD 21229
Internal Medicine (Hematology & Oncology)
900 CATON AVE
BALTIMORE, MD 21229
Nurse Anesthetist, Certified Registered
900 CATON AVE
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE
BALTIMORE, MD 21229

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 Ishrat Rafi's NPI number?

The NPI number for Ishrat Rafi is 1861451254. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Ishrat Rafi located?

Ishrat Rafi practices at 900 Caton Ave, Baltimore, MD 21229. The listed phone number is (667) 234-2507.

What is Ishrat Rafi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ishrat Rafi enrolled in Medicare?

Yes. Ishrat Rafi 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 Ishrat Rafi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ishrat Rafi reassigns Medicare benefits to 2 organizations: St. Agnes Healthcare, Inc. (Baltimore, MD) and Seton Medical Group, Inc (Columbia, MD). 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 Ishrat Rafi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ishrat Rafi was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.