RAFI FREDMAN MD
NPI 1972923126
Surgery - Plastic and Reconstructive Surgery in Saint Charles, MO
NPI Status: Active since April 25, 2014
Contact Information
1551 WALL ST STE 420
SAINT CHARLES, MO
ZIP 63303
Phone: (636) 329-4036
Fax: (636) 206-2898
- Individual
- Male
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 26D2237746
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-27-2027
About RAFI FREDMAN
This page provides the complete NPI Profile along with additional information for Rafi Fredman, a provider established in Saint Charles, Missouri with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1972923126 assigned on April 2014. The practitioner's primary taxonomy code is 2086S0122X with license number 2019032397 (MO). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1972923126
- Provider Name
- RAFI FREDMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1551 WALL ST STE 420 SAINT CHARLES, MO 63303
- Location Phone
- (636) 329-4036
- Location Fax
- (636) 206-2898
- Mailing Address
- 1551 WALL ST STE 420 SAINT CHARLES, MO 63303
- Mailing Phone
- (636) 329-4036
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2014
- Last Update Date
- 12-17-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2019032397
- License State
- MO
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2237746
- Facility Type
- Physician Office
- Certificate Effective Date
- September 28, 2025
- Certificate Expiration Date
- September 27, 2027
- Laboratory Director
- RAFI S. FREDMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rafi Fredman to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972923126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SAINT CHARLES, MO 63303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972923126, enumerated as an "individual" on April 25, 2014.
The provider is located at 1551 WALL ST STE 420 SAINT CHARLES, MO 63303 and the phone number is (636) 329-4036.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
