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DR. SYEDA SANAM AL RAFAI MD
NPI 1902397300
Internal Medicine in Springfield, MA

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, May 22, 2018 (2 updates tracked since 2018).

About Dr. Syeda Sanam Al Rafai Md NPPES

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

DR. SYEDA SANAM AL RAFAI MD (NPI 1902397300) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (294722) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902397300
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SYEDA SANAM AL RAFAICredential: MD
Location Address759 CHESTNUT STSpringfield, MA 01199-0001
Mailing Address759 Chestnut StSpringfield, MA 01199-0001 · (413) 794-0000
Phone(413) 794-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2018
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1902397300 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 MA · 294722
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
759 CHESTNUT ST, Springfield, MA 01199
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Syeda Sanam Al Rafai 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 ID8325396294
PECOS Enrollment IDI20221123001538
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
142 services137 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services47 patients

Hospital Affiliations CMS Care Compare 4

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

DENNIS ZAMBRANO
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
CHARLES E BROWN
Nurse Anesthetist, Certified Registered
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3520
RAISA KHAN
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
VICTORIA YOUNES
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (418) 794-0000
MR. ROBERT J RUSSELL PCNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3376
DR. BENJAMIN J BARNES MD
Psychiatry & Neurology (Neurology)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-4440
BAYSTATE MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199
Hampden County (413) 794-3291
JEFFREY WALBRIDGE DO
Pediatrics
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

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 Syeda Al Rafai's NPI number?

The NPI number for Syeda Al Rafai is 1902397300. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Syeda Al Rafai located?

Syeda Al Rafai practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Syeda Al Rafai's specialty?

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

Is Syeda Al Rafai enrolled in Medicare?

Yes. Syeda Al Rafai 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.

Is Syeda Al Rafai affiliated with any hospitals?

According to CMS data, Syeda Al Rafai is affiliated with Lawrence General Hospital, Northeast Hospital Corporation, Lowell General Hospital and Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Syeda Al Rafai was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.