NPIMap

Individual provider Active NPI

Kamran Rafiq, M.D.

  • Internal Medicine Physician
  • Paulding, OH
National Provider Identifier
1942395546
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.084518 Issued in OH
Practice address
1035 W Wayne St
Paulding, OH 45879-1544
Phone
(419) 399-4080
Fax
(419) 399-3688
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.084518 OH Primary
Emergency Medicine Physician 207P00000X 35.084518 OH
Emergency Medicine Physician 207P00000X 036.167407 IL

Addresses

Primary practice location

1035 W Wayne St
Paulding, OH 45879-1544

Mailing address

5800 Monroe St.
BLDG E #4
Sylvania, OH 43560

Other practice location 1

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-7762

Other practice location 2

433 W. High St.
Bryan, OH 43506
Phone (419) 824-5063 ext. 107

Other identifiers 2

IdentifierTypeStateIssuer
000000335437OtherANTHEM
2491594MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kamran.rafiq.1@15486.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040712000207 OH Practitioner - Emergency Medicine 7517945009 Reassigns benefits to 2 organizations
I20240410003659 IL Practitioner - Internal Medicine 7517945009 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paulding County Hospital Physician ServicesGroup PAC ID 8820983893, 17 clinicians
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians

Practice addresses (Care Compare)

1032 W Wayne St
Paulding, OH 45879-1545
Phone (419) 399-1104

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Hospital & facility affiliations

  • Paulding County Hospital Hospital, Paulding, OH, CCN 361300
  • Iroquois Memorial Hospital Hospital, Watseka, IL, CCN 141353
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344
  • Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328
  • Paulding County Hospital Nursing home, CCN 36Z300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.167407ILMDEmergency Medicine Physician
35.084518OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Sep 7, 2024 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince May 1, 2024 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Mar 28, 2024 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince May 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Paulding County Hospital Past Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Internal Medicine Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Interoperability endpoints

  • Direct secure messaging: kamran.rafiq.1@15486.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1942395546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST.",
            "address_2": "BLDG E #4",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W WAYNE ST",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458791544",
            "telephone_number": "419-399-4080",
            "fax_number": "419-399-3688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-7762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 W. High St.",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "43506",
            "country_code": "US",
            "telephone_number": "419-824-5063 x107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "KAMRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.084518",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.084518",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.167407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000335437",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2491594",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamran.rafiq.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paulding, OH

Sources for this page

Verify at the official NPI Registry.