Individual provider Active NPI

Usama Ahmad Rafique, MD

  • Psychiatry Physician
  • Grand Forks, ND
National Provider Identifier
1629463369
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15550 Issued in ND
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215001661 FL Practitioner - Psychiatry 3274871223 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

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

LicenseStateTypeSpecialty
15550NDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Oct 21, 2022 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Palm Point Behavioral Health LLC Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Oct 21, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Oct 21, 2022 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Oct 21, 2022 Accepting new patients
Baycare Medical Group, Inc CurrentSince Oct 14, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Oct 14, 2022 Accepting new patients
Behavioral Health Management Services Inc CurrentSince Oct 21, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Oct 21, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Oct 21, 2022 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

  • Direct secure messaging: urafique321790@orlandohealth.medalliesdirect.net
  • Direct secure messaging: urafique95763@direct.directaltru.org
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.