Organization Active NPI

Magdy Rofail MD PC

  • Gastroenterology Physician
  • Richmond, IN
National Provider Identifier
1366759474
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01043558A Issued in IN
Legal business name
MAGDY ROFAIL MD PC
Practice address
1080 University Blvd
Richmond, IN 47374-1256
Phone
(765) 939-2037
Fax
(765) 939-0138
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Magdy Rofail, MDNPI 1033210737
Title
Physician
Phone
(765) 939-2037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 01043558A IN Primary

Addresses

Primary practice location

1080 University Blvd
Richmond, IN 47374-1256

Mailing address

1080 University Blvd
Richmond, IN 47374-1256
Phone (765) 939-2037

Other identifiers 1

IdentifierTypeStateIssuer
200027660AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505001616 IN Part B Supplier - Clinic/Group Practice 5092948711 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, IN

National Provider Directory

National Provider Directory

Locations

1100 Reid Pkwy
#Z
Richmond, IN 47374
Phone (765) 983-3000

1080 University Blvd
#Z
Richmond, IN 47374
Phone (765) 939-2037

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1366759474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 UNIVERSITY BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741256",
            "telephone_number": "765-939-2037",
            "fax_number": "765-939-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 UNIVERSITY BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741256",
            "telephone_number": "765-939-2037",
            "fax_number": "765-939-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDY ROFAIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ROFAIL",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "765-939-2037",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01043558A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200027660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.