Rima Abraham Defatta, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

55928-20 Issued in WI

Practice address

1490 Rivers Edge TRL
Altoona, WI 54720-2755

Phone

(715) 828-2368

Fax

(715) 839-7796

NPI assigned

Aug 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Rima Faraj Abraham Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Otolaryngology

Education

Temple University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Defatta ENT and Facial Plastic Surgery SCGroup PAC ID 6103059936, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chippewa Valley Hospital Hospital, Durand, WI, CCN 521307
• Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196
• Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353
• Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
• Mayo Clinic Health System Eau Claire Hospital Hospital, Eau Claire, WI, CCN 520070

Merit-based Incentive Payment System (MIPS)

Final score

86.88 of 100Reported as group

Quality

85.49

Promoting interoperability

96

Improvement activities

40

Cost

74.1

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Defatta ENT & Facial Plastic Surgery SC

  • Specialist
  • Altoona, WI
  • NPI 1346664059
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippewa Valley Hospital & Oakview Care Center Inc.

  • Emergency Medicine Physician
  • Durand, WI
  • NPI 1659471068

  Hospital

  Care Compare affiliation
• Chippewa Valley Hospital & Oakview Care Center, Inc.

  • Critical Access Hospital
  • Durand, WI
  • NPI 1194737817
  Care Compare affiliation
• Cumberland Memorial Hospital Inc

  • Critical Access Hospital
  • Cumberland, WI
  • NPI 1831243757
  Care Compare affiliation
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • General Acute Care Hospital
  • Eau Claire, WI
  • NPI 1629027578
  Care Compare affiliation
• MCHS Hospitals Inc

  • Rural Acute Care Hospital
  • Marshfield, WI
  • NPI 1942749387
  Care Compare affiliation
• Oak Leaf Surgical Hospital LLC

  • Special Hospital
  • Altoona, WI
  • NPI 1669463832
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1790931707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 RIVERS EDGE TRL",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202755",
            "telephone_number": "715-828-2368",
            "fax_number": "715-839-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 RIVERS EDGE TRL",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202755",
            "telephone_number": "715-828-2368",
            "fax_number": "715-839-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFATTA",
        "first_name": "RIMA",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "440103",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "WI",
            "license": "55928",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "WI",
            "license": "55928",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "WI",
            "license": "55928",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "55928-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdefatta@defattaentfacialplastics.careclouddirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1490 Rivers Edge Trl",
            "city": "Altoona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547202755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RIMA",
            "last_name": "ABRAHAM",
            "middle_name": "FARAJ",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crescent Meadows Mental Health Services
• Austin J Crow, MD
• Taylor J Cunningham, PA
• Heather Dayton, ATC, LAT
• Defatta ENT & Facial Plastic Surgery SC
• Robert Joseph Defatta, MD, PH D, FACS
• Dax Demaree, D.O.
• Paul Joseph Dery, C.O.T.A.
• Jackson Detrick
• Ryan J Donegan, DPM

• Otolaryngology Physician in Altoona, WI
• Providers in Altoona, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.

Verify at the official NPI Registry.