Individual provider Active NPI

Rehan Rafiq, M.D.

  • Gastroenterology Physician
  • Festus, MO
National Provider Identifier
1407924954
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2008002909 Issued in MO
Practice address
1390 US Highway 61 Ste N3300
Festus, MO 63028-4137
Phone
(636) 937-8675
NPI assigned
Dec 1, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036124859 IL
Gastroenterology Physician 207RG0100X 2008002909 MO Primary

Addresses

Primary practice location

1390 US Highway 61 Ste N3300
Festus, MO 63028-4137

Mailing address

1390 US Highway 61 Ste N3300
Festus, MO 63028-4137
Phone (636) 937-8675

Other identifiers 2

IdentifierTypeStateIssuer
14079249MedicaidMO
02638099MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080716000299 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 2062467756 Reassigns benefits to 4 organizations
I20101116000116 IL Practitioner - Gastroenterology 2062467756 Reassigns benefits to 1 organization
I20190404000639 CA Practitioner - Pediatric Medicine 2062467756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Gastroenterology LLCGroup PAC ID 8628121795, 66 clinicians
Digestive Consultants LLCGroup PAC ID 2567714900, 8 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

200 Brevco PLZ
Suite 208
Lake St Louis, MO 63367-2950
Phone (636) 561-9020

224 S Woods Mill Rd
Suite 610S
Chesterfield, MO 63017-3410
Phone (636) 685-7795

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Consultants LLC Gastroenterology CurrentSince Sep 1, 2025 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Nov 1, 2010 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 20, 2019 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 20, 2019 Accepting new patients
Mercy Clinic Gastroenterology, LLC Gastroenterology CurrentSince Jul 26, 2024 Accepting new patients
University Health Physicians Emergency Medicine CurrentSince Aug 6, 2024 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Nov 1, 2010 Accepting new patients
Physician Groups LC Gastroenterology Past Accepting new patients
Our Lady of Mercy Medical Center Emergency Medicine Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4 Memorial Dr
Ste 230
Alton, IL 62002
Phone (618) 463-7874

224 S Woods Mill Rd
Ste 610S
Chesterfield, MO 63017
Phone (636) 685-7795

2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175

2301 Holmes St
Fl 1
Kansas City, MO 64108

2301 Holmes St
Fl 3
Kansas City, MO 64108

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

1040 N Mason Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 758-6053

11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784

11155 Dunn Rd
Ste 309E
Saint Louis, MO 63136
Phone (314) 741-9010

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 996-7644

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1407924954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE N3300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-937-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE N3300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-937-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "REHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036124859",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2008002909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14079249",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638099",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11155 Dunn Rd Ste 309E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.