Ummara Rafat, MD
NPI 1275095234 · Endocrinology, Diabetes & Metabolism Physician · Palos Heights, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ummara Rafat, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Palos Heights, IL (NPI 1275095234).
Provider details
- NPI number
- 1275095234
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 43 | $81 |
Typical Medicare-allowed amounts for these services range $81–$81 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2900 N Lake Shore DrChicago, IL 60657-5640Phone: (773) 665-6730Fax: (773) 665-3228
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Frequently asked questions
- What is Ummara Rafat's NPI number?
- Ummara Rafat's National Provider Identifier (NPI) is 1275095234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ummara Rafat's specialty?
- Ummara Rafat is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Ummara Rafat located?
- Ummara Rafat's practice location on file with NPPES is 12251 S 80th Ave, Palos Heights, IL 60463-1290.
- What is Ummara Rafat's phone number?
- The practice phone number listed in the NPPES registry for Ummara Rafat is (708) 923-4000.
- Does Ummara Rafat accept Medicare?
- Ummara Rafat is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ummara Rafat's NPI active?
- Yes — Ummara Rafat's NPI (1275095234) is active in the NPPES registry as of the last update on 2024-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.