Individual provider Active NPI

Medhat Raouf, M.D.

  • Internal Medicine Physician
  • Ringwood, NJ
National Provider Identifier
1063464246
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044564 Issued in NJ
Practice address
60 Skyline Dr
Ringwood, NJ 07456-2012
Phone
(973) 962-4000
Fax
(973) 962-0640
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044564 NJ Primary

Addresses

Primary practice location

60 Skyline Dr
Ringwood, NJ 07456-2012

Mailing address

60 Skyline Dr
Ringwood, NJ 07456-2012
Phone (973) 962-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000496 NJ Practitioner - Internal Medicine 7618915034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

52 Skyline Dr
Ringwood, NJ 07456-2020
Phone (973) 962-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.12 of 100Reported as group
Quality
77.95
Promoting interoperability
0
Improvement activities
40
Cost
72.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044564NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Mar 1, 2023 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Lakeland Operator LLC Past Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

175 High St
Newton, NJ 07860
Phone (973) 383-2121

60 Skyline Dr
Ringwood, NJ 07456
Phone (973) 962-4000

52 Skyline Dr
Ringwood, NJ 07456
Phone (973) 962-6200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEJAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1063464246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562012",
            "telephone_number": "973-962-4000",
            "fax_number": "973-962-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562012",
            "telephone_number": "973-962-4000",
            "fax_number": "973-962-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUF",
        "first_name": "MEDHAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "044564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringwood, NJ

Sources for this page

Verify at the official NPI Registry.