NPIMap

Individual provider Active NPI

Elias Mounif Rifkah, MD

  • Family Medicine Physician
  • Altoona, PA
National Provider Identifier
1639240344
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD066020L Issued in PA
Practice address
120 Chestnut Ave
Altoona, PA 16601-4926
Phone
(814) 940-8113
Fax
(814) 946-1928
NPI assigned
Nov 13, 2006
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD066020L PA Primary

Addresses

Primary practice location

120 Chestnut Ave
Altoona, PA 16601-4926

Mailing address

120 Chestnut Ave
Altoona, PA 16601-4926
Phone (814) 940-8113

Other identifiers 2

IdentifierTypeStateIssuer
008060OtherPAMEDICARE PTAB NUMBER
0017622580005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005001010 PA Practitioner - Family Practice 8426240748 Reassigns benefits to 1 organization
Practice locations: Altoona, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Chestnut Ave
Altoona, PA 16601-4926
Phone (814) 940-8113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as individual
Quality
67.97
Promoting interoperability
98
Improvement activities
40
Cost
82.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066020LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J C Blair Medical Services Inc Family Medicine CurrentSince Aug 29, 2018 Accepting new patients
Ty Cobb Healthcare System Past Accepting new patients
Ty Cobb Healthcare System, Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Healthcare of Berrien County, Inc. Past Accepting new patients

Locations

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHDADA/Endpoint/GHDADA

Organizations & group practices 5

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 12

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1639240344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014926",
            "telephone_number": "814-940-8113",
            "fax_number": "814-946-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014926",
            "telephone_number": "814-940-8113",
            "fax_number": "814-946-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKAH",
        "first_name": "ELIAS",
        "middle_name": "MOUNIF",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD066020L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAB NUMBER",
            "identifier": "008060",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017622580005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.