Rafael Fonseca, M.D.
Hematology (Internal Medicine) Physician · Scottsdale, AZ
Rafael Fonseca, M.D. is a hematology (internal medicine) physician with a practice address in Scottsdale, Arizona, and NPI 1275517898, issued on Dec 6, 2005. Check the license (Arizona 32565, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Rafael Fonseca
- Credential
- M.D.
- Primary taxonomy
- Hematology (Internal Medicine) Physician 207RH0000X
- License number
- 32565 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 13400 E Shea Blvd, Scottsdale, AZ 85259
- Phone
- (480) 301-8000
- Enumerated
- Dec 6, 2005
- Record last updated
- Sep 3, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20040708000645); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 13400 E Shea Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rawad Abbas, MDNeurological Surgery Physician1255028825
- Abdelmohaymin Abdalla, MDPulmonary Disease Physician1871081505
- Hesham Mubarak Abdalla, M.B.B.S.Internal Medicine Physician1013696111
- Mahmoud Abdelnabi, MDCardiovascular Disease Physician1548934714
- Haidar Abdul-Muhsin, M.B.CH.B.Urology Physician1356755250
- Ali Abdulsahib, MDInfectious Disease Physician1417535030
Verify Rafael Fonseca in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 32565Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
56% more Medicare Part D claims than the average hematology (internal medicine) physician in 2024
772 Medicare Part D claims for 86 beneficiaries, against an average of 496 among the 1,036 providers of this specialty who prescribed in Part D. Brand-name drugs were 34% of claims. 66 claims were for opioids.
Most prescribed
- Acyclovir169 claims
- Revlimid108 claims
- Pomalyst61 claims
- Dexamethasone44 claims
- Sulfamethoxazole-Trimethoprim42 claims
- Eliquis27 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 78.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $63,765.69
35 payments; by number, the most common kind was consulting fee; the largest payer was Genzyme Corporation. The 721 providers of this specialty with any payment received $13,778.35 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Mayo Clinic ArizonaScottsdale, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hematology (Internal Medicine) Physician providers in Arizona
There are 10 hematology (internal medicine) physician records in Arizona.
Other hematology (internal medicine) physician records in Arizona
- Abdulrahman Abonofal, MDGoodyear, AZ1164983748
- Pedro Camacho, MDGilbert, AZ1861151441
- Chirag Kapadia, MDTucson, AZ1275153595
- Abdullah Ladha, MDScottsdale, AZ1033341672
- Joseph Mikhael, M.D.Scottsdale, AZ1972781581
- Danielle Nance, MDGilbert, AZ1689718264
- Pierre NoelScottsdale, AZ1992789671
- John Pawloski, M.D., PH. D.Phoenix, AZ1093899981
- Misam Zawit, M.DGoodyear, AZ1861757494
Common questions
What is Rafael Fonseca, M.D.'s NPI number?
Rafael Fonseca, M.D.'s National Provider Identifier (NPI) is 1275517898, issued on Dec 6, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Rafael Fonseca, M.D. located?
The NPPES record lists a practice address at 13400 E Shea Blvd, Scottsdale, AZ, 85259. Phone: (480) 301-8000. Providers update this record themselves, so call before visiting.
How can I verify Rafael Fonseca, M.D.'s license?
NPPES lists Arizona license number 32565, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Rafael Fonseca, M.D. prescribe under Medicare Part D?
In 2024, Rafael Fonseca, M.D. had 772 Medicare Part D claims for 86 beneficiaries; the average among hematology (internal medicine) physician prescribers was 496. Part D covers Medicare prescriptions only.
What is Rafael Fonseca, M.D.'s MIPS final score?
The 2023 MIPS final score is 78.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.