Individual provider Active NPI

Rafik Abdel-Hamid Tarfa, MS, DPT, PT

  • Physical Therapist
  • Upper Marlboro, MD
National Provider Identifier
1306844493
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20955 Issued in MD
Practice address
9500 Pennsylvania Ave
Suite; 6
Upper Marlboro, MD 20772-3658
Phone
(301) 599-8420
Fax
(301) 599-8280
NPI assigned
Jul 12, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20955 MD Primary

Addresses

Primary practice location

9500 Pennsylvania Ave
Suite; 6
Upper Marlboro, MD 20772-3658

Mailing address

9500 Pennsylvania Ave
Suite; 6
Upper Marlboro, MD 20772-3658
Phone (301) 599-8420

Other identifiers 1

IdentifierTypeStateIssuer
491661MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040318000965 DC Practitioner - Physical Therapist in Private Practice 3173413556 Reassigns benefits to 1 organization
I20130731000501 MD Practitioner - Physical Therapist in Private Practice 3173413556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Post Office Rd
Suite 2C
Waldorf, MD 20602-1963
Phone (301) 599-8420

9500 Pennsylvania Ave
Suite 6
Upper Marlboro, MD 20772-3658
Phone (301) 599-8420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20955MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melwood Rehabilitation Center Inc Physical Therapist CurrentSince Sep 1, 2008 Accepting new patients
Melwood Rehabilitation Center Inc Physical Therapist CurrentSince Aug 11, 2006 Accepting new patients

Locations

9500 Pennsylvania Ave
Ste 6
Uppr Marlboro, MD 20772
Phone (301) 599-8420

601 Post Office Rd
Ste 2C
Waldorf, MD 20602
Phone (301) 396-4800

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1306844493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 PENNSYLVANIA AVE",
            "address_2": "SUITE; 6",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723658",
            "telephone_number": "301-599-8420",
            "fax_number": "301-599-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 PENNSYLVANIA AVE",
            "address_2": "SUITE; 6",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723658",
            "telephone_number": "301-599-8420",
            "fax_number": "301-599-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARFA",
        "first_name": "RAFIK",
        "middle_name": "ABDEL-HAMID",
        "name_prefix": "Dr.",
        "credential": "MS, DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-05-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491661",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.