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ALI RAFIQ M.D.
NPI 1942651815
Internal Medicine in Abington, PA

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
1200 OLD YORK RD, ABINGTON, PA 19001(215) 481-2191 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ali Rafiq M.d. NPPES

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

ALI RAFIQ M.D. (NPI 1942651815) is an individual internal medicine provider in Abington, Pennsylvania, licensed in Pennsylvania (MT211358) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Nmc Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942651815
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALI RAFIQCredential: M.D.
Location Address1200 OLD YORK RDAbington, PA 19001-3720
Mailing Address1200 Old York RdAbington, PA 19001-3720 · (215) 481-2191
Phone(215) 481-2191
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 22, 2016
✔ NPI 1942651815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT211358
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.
1200 OLD YORK RD, Abington, PA 19001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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

Ali Rafiq 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 ID8820382054
PECOS Enrollment IDI20190722000566
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
640 services179 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.
133 services127 patients
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.
58 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services30 patients
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.
36 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Via Christi Hospital Wichita St Teresa, Inc

Acute Care Hospitals · Wichita, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170200
Location14800 West St TeresaWichita, KS 67235 · Sedgwick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims27 services$65.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SHAILI NEPAL M.D.
Internal Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2191
ANGELA CARRACINO DO
Obstetrics & Gynecology
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2606
MR. KRISHNA CHAUDHARY MD
Internal Medicine
1200 OLD YORK RD, SUITE 2B
ARINGTON, PA 19001
Montgomery County (215) 481-2222
ANDRIY BASHTA
Nurse Practitioner (Acute Care)
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-3145
GRIFFIN JOHNSON MD
Student in an Organized Health Care Education/Training Program
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2000
MEGAN GRIFFITH
Surgery (Vascular Surgery)
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2000
OSMAN KOZAK
Psychiatry & Neurology (Neurology)
1200 OLD YORK RD, 5 TOLL
ABINGTON, PA 19001
Montgomery County (215) 481-3145
DAVID M COMPERATORE MD
Emergency Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-4355

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 Ali Rafiq's NPI number?

The NPI number for Ali Rafiq is 1942651815. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Ali Rafiq located?

Ali Rafiq practices at 1200 Old York Rd, Abington, PA 19001. The listed phone number is (215) 481-2191.

What is Ali Rafiq's specialty?

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

Is Ali Rafiq enrolled in Medicare?

Yes. Ali 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.

What insurance does Ali Rafiq accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Ali 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 Ali Rafiq affiliated with any hospitals?

According to CMS data, Ali Rafiq is affiliated with Nmc Health, Ascension Via Christi Hospitals Wichita, Inc. and Via Christi Hospital Wichita St Teresa, Inc.

When was this NPI record last updated?

The NPPES record for Ali Rafiq was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.