Individual provider Active NPI

Ishrat Z Rafi, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1861451254
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0056299 Issued in MD
Practice address
900 Caton Ave
Baltimore, MD 21229
Phone
(667) 234-2507
Fax
(667) 234-2640
NPI assigned
Mar 22, 2006
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0056299 MD Primary

Addresses

Primary practice location

900 Caton Ave
Baltimore, MD 21229

Mailing address

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-2507

Other practice location 1

1001 Pine Heights Ave
Ste 205
Baltimore, MD 21229
Phone (410) 644-2582

Other identifiers 3

IdentifierTypeStateIssuer
606379-04OtherMDCAREFIRST-MD
130009100MedicaidMD
0041OtherMDCAREFIRST-DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040518001553 MD Practitioner - Obstetrics/Gynecology 2062403140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056299MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Obstetrics & Gynecology CurrentSince Aug 18, 2018 Accepting new patients
Seton Medical Group, Inc Obstetrics & Gynecology CurrentSince Jan 1, 2008 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 18, 2018 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1001 Pine Heights Ave
Ste 205
Baltimore, MD 21229
Phone (410) 369-2000

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

3585 Washington Blvd
Halethorpe, MD 21227

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1861451254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-2507",
            "fax_number": "667-234-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "667-234-2507",
            "fax_number": "667-234-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Pine Heights Ave",
            "address_2": "Ste 205",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21229",
            "country_code": "US",
            "telephone_number": "410-644-2582",
            "fax_number": "410-644-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFI",
        "first_name": "ISHRAT",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0056299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-MD",
            "identifier": "606379-04",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130009100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-DC",
            "identifier": "0041",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.