Rafi Syed Ahmed, MD
Internal Medicine, Hematology & Oncology (MD) with Hoag Clinic, practicing in Irvine, California. Their prescriptions cost Medicare Part D more than their services did: $5,229,488 for 1,997 claims, against $46,541 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 2 companies reporting payments in 2025, $1,965 in all, mostly consulting fees. Lists Hoag Memorial Hospital Presbyterian and 1 other hospital as hospital affiliations.
Overview
| NPI | 1205093028 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 20, 2008 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | A112161 | CA |
| Internal Medicine | 207R00000X | A112161 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 2,336 across 46 procedure codes |
| Paid by Medicare | $46,541 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,997 · 3,032 30-day fills |
|---|---|
| Patients | 281 |
| Total drug cost | $5,229,488 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Hematology/Oncology |
| Telehealth | Offers telehealth |
Medical group
- Hoag ClinicNewport Beach, CA · 460 clinicians
Hospital affiliations
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
- Kaiser Foundation Hospital - Orange County - AnaheimAnaheim, CA
Industry payments (Open Payments)
- 2025$1,965 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $1,740 | 1 |
| Caris Mpi, Inc. | $225.19 | 2 |
What the 2025 payments were for
- Consulting Fee$1,740 · 1 payment
- Food and Beverage$225.19 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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