Rafia Zafar, MD
NPI 1528551504 · Endocrinology, Diabetes & Metabolism Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafia Zafar, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Rochester, NY (NPI 1528551504).
Provider details
- NPI number
- 1528551504
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 313972 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
146 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $92 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 32 | $126 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 14 | $151 |
Typical Medicare-allowed amounts for these services range $92–$151 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 177 | 79 |
| Semaglutidebrand: Ozempic | 145 | 48 |
| Levothyroxine Sodium | 136 | 51 |
| Insulin Lisprobrand: Insulin Lispro Kwikpen U-100 | 78 | 31 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 63 | 29 |
| Metformin Hcl | 54 | 31 |
Practice location
Mailing address
Additional practice locations (1)
- 1555 Long Pond RdRochester, NY 14626-4122Phone: (585) 723-7746Fax: (585) 723-7834
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Frequently asked questions
- What is Rafia Zafar's NPI number?
- Rafia Zafar's National Provider Identifier (NPI) is 1528551504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafia Zafar's specialty?
- Rafia Zafar is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Rafia Zafar located?
- Rafia Zafar's practice location on file with NPPES is 2655 Ridgeway Ave Ste 220, Rochester, NY 14626-4296.
- What is Rafia Zafar's phone number?
- The practice phone number listed in the NPPES registry for Rafia Zafar is (585) 368-4560.
- Does Rafia Zafar accept Medicare?
- Rafia Zafar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafia Zafar's NPI active?
- Yes — Rafia Zafar's NPI (1528551504) is active in the NPPES registry as of the last update on 2023-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.