Active NPI
Usama Ahmad Rafique, MD
- Psychiatry Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15550
- Practice address
- 860 S Columbia Rd
Grand Forks, ND 58201 - Phone
- (701) 780-6697
- Fax
- (701) 780-1507
- NPI assigned
- Mar 31, 2015
- Last updated
- Jan 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME153066 | FL | |
| Psychiatry Physician | 2084P0800X | 15550 | ND | Primary |
Addresses
Primary practice location
860 S Columbia Rd
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other practice location 1
4918 N Habana Ave
Tampa, FL 33614-6815
Phone (866) 762-1743
Other practice location 2
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone (866) 792-1743
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | urafique95763@direct.directaltru.org | Direct | |
| Direct Messaging Address | usama.rafiqueMD@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Behavioral Health Associates LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 W Warren Ave
Longwood, FL 32750-4038
Phone (407) 262-2220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15550 | ND | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Palm Point Behavioral Health LLC | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Winter Haven Hospital Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Baycare Behavioral Health, Inc | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
Locations
1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582
4918 N Habana Ave
Tampa, FL 33614
Phone (727) 710-0900
2355 Truman Scarborough Way
Titusville, FL 32796
Phone (321) 603-6550
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
Interoperability endpoints
- urafique321790@orlandohealth.medalliesdirect.net
- urafique95763@direct.directaltru.org
- usama.rafiquemd@direct.mybaycare.org
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1225312549
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
dba BayCare Life Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1417052713
-
dba Palm Point Behavioral Health
- Psychiatric Hospital
- Titusville, FL
- NPI 1235635533
Psychiatry
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1952856858
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1306184239
-
dba BH Mandala Urgent Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1801611132
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1629463369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-6697",
"fax_number": "701-780-1507"
}
],
"practiceLocations": [
{
"address_1": "4918 N Habana Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336146815",
"country_code": "US",
"telephone_number": "866-762-1743",
"fax_number": "727-816-1222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Avenue F NE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338814131",
"country_code": "US",
"telephone_number": "866-792-1743",
"fax_number": "727-816-1222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFIQUE",
"first_name": "USAMA",
"middle_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME153066",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "15550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "urafique95763@direct.directaltru.org",
"affiliation": "N",
"endpointDescription": "direct messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "860 S Columbia Rd",
"city": "Grand Forks",
"state": "ND",
"country_code": "US",
"postal_code": "58201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "usama.rafiqueMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Behavioral Health Associates LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.