Raha M. Mobarak, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

402 Issued in NM

Practice address

2800 Doral CT
Las Cruces, NM 88011-8616

Phone

(575) 521-0055

Fax

(575) 521-0077

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Las Cruces Physician Practices, LLCGroup PAC ID 7618974858, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Kare Inc of Dona Ana Home health agency, Las Cruces, NM, CCN 327126
• Ambercare Home Health Home health agency, Las Cruces, NM, CCN 327133
• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raha.mobarak.1@19849.direct.athenahealth.com

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.

• Las Cruces Physician Practices, LLC

  • Vascular Surgery Physician
  • Las Cruces, NM
  • NPI 1093947491
  Medicare reassignment Care Compare group NPD
• Monte Bello Medical

  • Podiatrist
  • Las Cruces, NM
  • NPI 1164415782

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Elite Primary Care LLC

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1669945002
  Medicare reassignment
• Elite Primary Care, LLC

  • Methadone Clinic
  • Las Cruces, NM
  • NPI 1568168342
  NPD
• Las Cruces Physician Practices, LLC

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1346586195
  NPD
• Las Cruces Physician Practices, LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1356390769
  NPD
• Karen Elizabeth Chagnon Dba Senior Care Associates of Texas

  • Podiatrist
  • Arlington, TX
  • NPI 1871700013
  NPD (past)

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

• Ambercare Home Health Care Corporation

  • Home Health Agency
  • Las Cruces, NM
  • NPI 1609039833
  Care Compare affiliation
• Home Kare Inc., of Dona Ana

  • Home Health Agency
  • Las Cruces, NM
  • NPI 1972664688
  Care Compare affiliation
• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275742074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Charlotte St",
            "address_2": "Ste102",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762013301",
            "country_code": "US",
            "telephone_number": "940-387-7300",
            "fax_number": "972-709-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBARAK",
        "first_name": "RAHA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "311",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1933",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Mitchell
• Ronald M Mitchell, DC
• MJRX III, LLC
• MMC Cancer Center
• Elvis Mmuo
• Emily Diane Moberly, MA., CCC-SLP
• Corbin Moen
• Akram Mohamednour
• Ahmed Abduljalil Mohammed, MD
• Janelle Mohler

• Foot & Ankle Surgery Podiatrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Foot & Ankle Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.