Active NPI
Raed Mousa, MD
- Retina Specialist (Ophthalmology) Physician
- Erie, PA
National Provider Identifier
1639913403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- MD487376
- Practice address
- 300 State St Ste 201
Erie, PA 16507-1429 - Phone
- (814) 456-4241
- NPI assigned
- Jun 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | MD487376 | PA | Primary |
Addresses
Primary practice location
300 State St Ste 201
Erie, PA 16507-1429
Mailing address
1416 Drake Dr
Erie, PA 16505-2604
Phone (814) 582-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 State St
Erie, PA 16507-1427
Phone (814) 456-4241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD487376 | PA | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Retinal Surgery, Inc. | Current | Accepting new patients |
Locations
300 State St
Ste 200A
Erie, PA 16507
Phone (814) 456-4241
300 State St
Erie, PA 16507
Phone (814) 453-4575
300 State St
Ste 201
Erie, PA 16507
Phone (814) 456-4241
Interoperability endpoints
- rmousa@erieretinal.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Erie, PA
- NPI 1457313868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1639913403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 DRAKE DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165052604",
"telephone_number": "814-582-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STATE ST STE 201",
"city": "ERIE",
"state": "PA",
"postal_code": "165071429",
"telephone_number": "814-456-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSA",
"first_name": "RAED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-25",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "PA",
"license": "MD487376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.