Individual provider Active NPI

Fakhry Rafiq, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1477607695
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32191 Issued in KY
Practice address
5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Phone
(317) 782-1577
Fax
(888) 366-7577
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01044541A IN
Internal Medicine Physician 207R00000X 01044541A IN
Internal Medicine Physician 207R00000X 32191 KY Primary

Addresses

Primary practice location

5150 Shelbyville Rd
Indianapolis, IN 46237-2601

Mailing address

5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Phone (317) 782-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100823000379 IN Practitioner - Internal Medicine 5395769632 Reassigns benefits to 3 organizations
I20241022003469 MI Practitioner - Internal Medicine 5395769632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Dysphagia Consultants LLCGroup PAC ID 8820360795, 17 clinicians

Practice addresses (Care Compare)

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (513) 713-0069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044541AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Physician Services PC Internal Medicine CurrentSince Oct 23, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 7, 2018 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Nov 7, 2018 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Midwest Dysphagia Consultants, LLC CurrentSince Jul 1, 2024 Accepting new patients
After Hour Care of Kentuckiana, Inc. Past Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

10216 Taylorsville Rd
Louisville, KY 40299
Phone (502) 267-7453

1717 Rotary Dr
Humble, TX 77338
Phone (817) 296-7282

Organizations & group practices 8

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1477607695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SHELBYVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372601",
            "telephone_number": "317-782-1577",
            "fax_number": "888-366-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SHELBYVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372601",
            "telephone_number": "317-782-1577",
            "fax_number": "888-366-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "FAKHRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01044541A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01044541A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.