Raouf Hilal, MD
NPI 1427161793 · Gastroenterology Physician · Maitland, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raouf Hilal, MD is a Gastroenterology Physician provider in Maitland, FL (NPI 1427161793).
Provider details
- NPI number
- 1427161793
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME82684 (FL)
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
19 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
766 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 | 215 | $131 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 117 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 112 | $92 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 91 | $157 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 79 | $172 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 50 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 535 | 208 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 271 | 266 |
| Famotidine | 246 | 99 |
| Linaclotidebrand: Linzess | 240 | 90 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 185 | 182 |
| Dicyclomine Hcl | 163 | 70 |
| Omeprazole | 141 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,488 across 120 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
- 2006-08-17
- Last updated
- 2018-07-02
Frequently asked questions
- What is Raouf Hilal's NPI number?
- Raouf Hilal's National Provider Identifier (NPI) is 1427161793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raouf Hilal's specialty?
- Raouf Hilal is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Raouf Hilal located?
- Raouf Hilal's practice location on file with NPPES is 740 S Concourse Pkwy, Maitland, FL 32751.
- What is Raouf Hilal's phone number?
- The practice phone number listed in the NPPES registry for Raouf Hilal is (407) 644-4014.
- Does Raouf Hilal accept Medicare?
- Raouf Hilal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raouf Hilal's NPI active?
- Yes — Raouf Hilal's NPI (1427161793) is active in the NPPES registry as of the last update on 2018-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.