Medhat Raouf, M.D.
NPI 1063464246 · Internal Medicine Physician · Ringwood, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medhat Raouf, M.D. is a Internal Medicine Physician provider in Ringwood, NJ (NPI 1063464246).
Provider details
- NPI number
- 1063464246
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 044564 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,119 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 376 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 193 | $92 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 188 | $9 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 178 | $80 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 55 | $26 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$28 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2016-01-19
Frequently asked questions
- What is Medhat Raouf's NPI number?
- Medhat Raouf's National Provider Identifier (NPI) is 1063464246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Medhat Raouf's specialty?
- Medhat Raouf is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Medhat Raouf located?
- Medhat Raouf's practice location on file with NPPES is 60 Skyline Dr, Ringwood, NJ 07456-2012.
- What is Medhat Raouf's phone number?
- The practice phone number listed in the NPPES registry for Medhat Raouf is (973) 962-4000.
- Does Medhat Raouf accept Medicare?
- Medhat Raouf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Medhat Raouf's NPI active?
- Yes — Medhat Raouf's NPI (1063464246) is active in the NPPES registry as of the last update on 2016-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.