Individual provider

Soomal Rafique, MD

Cardiovascular Disease Physician Medicare enrolled

Soomal Rafique, MD is a Cardiovascular Disease Physician in Springfield, IL, registered under NPI 1013693316.

Getting there

The practice address on file is 701 N 1ST ST STE D434, Springfield, IL 62702. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

701 N 1ST ST STE D434, Springfield, IL 62702 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
125.082055 IL Cardiovascular Disease Physician primary

This provider holds licence 125.082055 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Internal Medicine
PAC ID
9830559541
Enrollment ID
I20230713000145

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Internal Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Cardiovascular Disease covers

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1013693316 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 22, 2023
Last updatedJun 27, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialMD
Practice address 701 N 1ST ST STE D434
Springfield, IL 62702
(217) 545-8000
Fax (217) 545-7063
Mailing address PO BOX 19636
Springfield, IL 62794
This record was updated on Jun 27, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1013693316 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 6 9 3 3 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 3 9 6 3 2

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013693316?
NPI 1013693316 is the National Provider Identifier assigned to Soomal Rafique, MD in Springfield, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Cardiovascular Disease cover?
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
How do I contact Soomal Rafique, MD?
The phone number on file with NPPES is (217) 545-8000, last updated Jun 27, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Soomal Rafique, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013693316 a valid number?
Yes. 1013693316 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.