Ali Rafatjoo, M.D.
NPI 1154341907 · Family Medicine Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ali Rafatjoo, M.D. is a Family Medicine Physician provider in Newport Beach, CA (NPI 1154341907).
Provider details
- NPI number
- 1154341907
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A54980 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
597 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 308 | $189 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 89 | $133 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 41 | $66 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 32 | $138 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 29 | $39 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 52 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 148 | 40 |
| Alprazolam | 73 | 22 |
| Levothyroxine Sodium | 70 | 17 |
| Ezetimibe | 58 | 15 |
| Zolpidem Tartrate | 57 | 20 |
| Amlodipine Besylate | 54 | 16 |
| Famotidine | 51 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$153 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Frequently asked questions
- What is Ali Rafatjoo's NPI number?
- Ali Rafatjoo's National Provider Identifier (NPI) is 1154341907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ali Rafatjoo's specialty?
- Ali Rafatjoo is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ali Rafatjoo located?
- Ali Rafatjoo's practice location on file with NPPES is 360 San Miguel Dr, Newport Beach, CA 92660-7853.
- What is Ali Rafatjoo's phone number?
- The practice phone number listed in the NPPES registry for Ali Rafatjoo is (949) 640-4455.
- Does Ali Rafatjoo accept Medicare?
- Ali Rafatjoo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ali Rafatjoo's NPI active?
- Yes — Ali Rafatjoo's NPI (1154341907) is active in the NPPES registry as of the last update on 2021-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.