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Active NPI 1942395546 Individual Practitioner Male Practitioner

Dr. Kamran Rafiq , MD

Internal Medicine • Paulding, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kamran Rafiq, MD is a certified Internal Medicine practicing in Paulding, OH. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Rafiq delivers high-quality medical care to the local community at 1035 W WAYNE ST.

Dr. Rafiq maintains professional affiliations with Paulding County Hospital Physician Services, Statera Health Care Llc, Illinois Emergency Medicine Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1035 W Wayne St

Paulding, OH 458791544

Telephone 4193994080
Fax 4193993688
Associated Practice Facility / Clinic
🏢 Paulding County Hospital Facility NPI 1144298514

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Paulding, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +3.5 yrs vs City Avg
City Avg: 33.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Paulding, OH (5516 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafiq (37 Years) 37 Yrs
Paulding Specialty Average (33.5 Years) 33.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
171 147 $433.54 $116.04
99285 Emergency department visit for life threatening or functioning severity
61 53 $724.39 $168.81
99283 Emergency department visit with low level of medical decision making
24 23 $309.88 $68.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
19 18 $169.00 $74.55

Medical Specialties & State Licenses

CMS Verified: 2025-09-15
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.084518

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License OH 35.084518

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IL 036.167407

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2491594 (OH)
Commercial Insurance / Payer ID Anthem
000000335437

Hospital & Practice Group Affiliations

Illinois Emergency Medicine Specialists Llc

4646 N Marine Dr, Chicago, IL 606405759

Phone: 7738788700

Statera Health Care Llc

200 E Fairman Ave, Watseka, IL 609701644

Phone: 8154325841

Paulding County Hospital Physician Services

1032 W Wayne St, Paulding, OH 458791545

Phone: 4193991104

Secondary Practice Locations

433 W. High St.

Bryan, OH 43506

Phone: 4198245063

200 E Fairman Ave

Watseka, IL 609701644

Phone: 8154327762

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Melanie Banks , FNP-C

Nurse Practitioner - Family

NPI 1003425497

Family Nurse Practitioner (Certified)

Barbara Hoersten , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1174185037

Registered Pharmacist

Dr. Nigel Hogan , DO

Family Medicine

NPI 1194110775

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 15, 2025

Registered at 1035 W WAYNE ST, PAULDING, OH 458791544 (Tel: 4193994080)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2025

Internal Medicine (License #35.084518 in OH)

NPI Profile Active March 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2016

Registered at 433 W. HIGH ST., BRYAN, OH 43506 (Tel: 4198245063)

📍
Updated Business Mailing Address March 08, 2016

Registered at 5800 MONROE ST., BLDG E #4, SYLVANIA, OH 43560

👤
Provider Name / Credentials Updated March 08, 2016

Recorded as KAMRAN RAFIQ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2016

Emergency Medicine (License #35.084518 in OH)

🟢
Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942395546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: September 15, 2025
Sole Proprietor: Yes

Mailing Address

5800 Monroe St., Bldg E #4

Sylvania, OH 43560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.