Rafi Mohammed Ali, MD - Medicare Gastroenterology in Naperville, IL

Rafi Mohammed Ali, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Naperville, Illinois. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Dupage Medical Group Ltd and his current practice location is 100 Spalding Dr, Ste. 208, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 717-2600.

Rafi Mohammed Ali is licensed to practice in Illinois (license number 036103847) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437136454.

Contact Information

Rafi Mohammed Ali, MD
100 Spalding Dr, Ste. 208,
Naperville, IL 60540-6550
(630) 717-2600
Not Available

Map and Direction




Physician's Profile

Full NameRafi Mohammed Ali
GenderMale
SpecialityGastroenterology
Experience27 Years
Location100 Spalding Dr, Naperville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafi Mohammed Ali attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1997
  NPI Data:
  • NPI Number: 1437136454
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315833035
  • Enrollment ID: I20040227000383

Medical Identifiers

Medical identifiers for Rafi Mohammed Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437136454NPI-NPPES
036103847MedicaidIL
100017241OtherILRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036103847 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elmhurst Memorial HospitalElmhurst, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dupage Medical Group Ltd54966679411186

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rafi Mohammed Ali allows following entities to bill medicare on his behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rafi Mohammed Ali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rafi Mohammed Ali, MD
1860 Paysphere Cir,
Chicago, IL 60674-0018

Ph: (630) 469-9200
Rafi Mohammed Ali, MD
100 Spalding Dr, Ste. 208,
Naperville, IL 60540-6550

Ph: (630) 717-2600

Reviews and Comments


Internal Medicine Doctors in Naperville, IL

Ehab Ghassan Dababneh, MD
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Dinesh Jain, M.D.
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Gregory Trevino, MD
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Practice Location: 608 S Washington St Ste 201, Naperville, IL 60540
Phone: 630-717-2630    
Dr. Mark F Daniels, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Spalding Dr, Ste 208, Naperville, IL 60540
Phone: 630-355-8000    
Rafael Piedra, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Spalding Dr, Ste 208, Naperville, IL 60540
Phone: 630-717-2600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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