Individual provider Active NPI

Rafif Mousa, MD

  • Reproductive Endocrinology Physician
  • Fairview Park, OH
National Provider Identifier
1023425899
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
35.133846 Issued in OH
Practice address
21500 Lorain Rd
Fairview Park, OH 44126
Phone
(216) 577-8860
Fax
(216) 785-2123
NPI assigned
Jul 14, 2014
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116027444 VA
Reproductive Endocrinology Physician 207VE0102X 35.133846 OH Primary

Addresses

Primary practice location

21500 Lorain Rd
Fairview Park, OH 44126

Mailing address

21500 Lorain Rd
Fairview Park, OH 44126-3302
Phone (216) 577-8860

Other practice location 1

601 Colley Ave
Norfolk, VA 23507-1627
Phone (757) 446-7444

Other identifiers 1

IdentifierTypeStateIssuer
0116027444OtherVASTATE OF VIRGINIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Fertility Medical Center Corporation Past Accepting new patients
American Fertility California Corp Reproductive Endocrinology Past Accepting new patients
Afmc Diamond Lab Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1023425899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263302",
            "telephone_number": "216-577-8860",
            "fax_number": "216-785-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "216-577-8860",
            "fax_number": "216-785-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Colley Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071627",
            "country_code": "US",
            "telephone_number": "757-446-7444",
            "fax_number": "757-446-8998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "RAFIF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116027444",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35.133846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VIRGINIA MEDICAL LICENSE",
            "identifier": "0116027444",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.