Individual provider Active NPI

Rafay Abbasi, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1447699822
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A163388 Issued in CA
Practice address
8010 Willow Glen Rd
Los Angeles, CA 90046-1617
Phone
(732) 501-5497
NPI assigned
Jun 19, 2013
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036142136 IL
Internal Medicine Physician 207R00000X A163388 CA Primary
Hospitalist Physician 208M00000X 036142136 IL

Addresses

Primary practice location

8010 Willow Glen Rd
Los Angeles, CA 90046-1617

Mailing address

8010 Willow Glen Rd
Los Angeles, CA 90046-1617
Phone (732) 501-5497

Other practice location 1

3 Erie Ct Ste L700
Oak Park, IL 60302-2519
Phone (708) 763-1222

Other practice location 2

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

Other identifiers 1

IdentifierTypeStateIssuer
14011034OtherILCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR, 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
I20170628001436 IL Practitioner - Internal MedicinePractitioner - Hospitalist 1456570589 Reassigns benefits to 1 organization
I20171130003088 AR Practitioner - HospitalistPractitioner - Internal Medicine 1456570589 Reassigns benefits to 3 organizations
I20201208001151 CA Practitioner - Internal Medicine 1456570589 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163388CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 29, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 31, 2024 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Baptist Health CurrentSince Mar 14, 2020 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Dec 29, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 4, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 31, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 4, 2017 Accepting new patients
Baptist Health CurrentSince Mar 14, 2020 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Arkansas Health Group CurrentSince Feb 1, 2020 Accepting new patients
Village Radiology LTD Past Accepting new patients

Locations

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

172 E Schiller St
Elmhurst, IL 60126
Phone (630) 782-4050

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1447699822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 WILLOW GLEN RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461617",
            "telephone_number": "732-501-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 WILLOW GLEN RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461617",
            "telephone_number": "732-501-5497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct Ste L700",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-763-1222",
            "fax_number": "708-763-1471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3249 Oak Park Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023429",
            "country_code": "US",
            "telephone_number": "708-783-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "RAFAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036142136",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A163388",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036142136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14011034",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.