Individual provider Active NPI

Syed S Rafique, M.D.

  • Specialist
  • Greenwood, MS
National Provider Identifier
1871607598
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14648 Issued in MS
Practice address
333 Highway 82 W
Greenwood, MS 38930-6538
Phone
(662) 453-3167
Fax
(662) 453-9180
NPI assigned
Aug 18, 2006
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14648 MS Primary

Addresses

Primary practice location

333 Highway 82 W
Greenwood, MS 38930-6538

Mailing address

333 Highway 82 W
Greenwood, MS 38930-6538
Phone (662) 453-3167

Other identifiers 2

IdentifierTypeStateIssuer
00116022MedicaidMS
P01276395OtherMSRAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100920000363 MS Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5395860944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hospice/Palliative Care, Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Hwy 82 W
Greenwood, MS 38930-6538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14648MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Oncology, Inc. CurrentSince Oct 1, 2003 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients

Locations

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

333 Highway 82 W
Greenwood, MS 38930
Phone (662) 453-3167

Interoperability endpoints

  • Direct secure messaging: syed.rafique@delta.ikm.direct-ci.com
  • Direct secure messaging: syed.rafique@scs-direct.glh.org

Organizations & group practices 2

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 4

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1871607598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306538",
            "telephone_number": "662-453-3167",
            "fax_number": "662-453-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306538",
            "telephone_number": "662-453-3167",
            "fax_number": "662-453-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQUE",
        "first_name": "SYED",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "14648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116022",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01276395",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.