Individual provider Active NPI

Samuel Raouf, M.D.

  • Neurocritical Care Physician
  • Baltimore, MD
National Provider Identifier
1861812182
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
D0088236 Issued in MD
Practice address
5051 Greenspring Ave Ste 302
Baltimore, MD 21209-4358
Phone
(410) 601-9515
NPI assigned
Apr 25, 2014
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2909721 NY
Neurocritical Care Physician 2084A2900X D0088236 MD Primary

Addresses

Primary practice location

5051 Greenspring Ave Ste 302
Baltimore, MD 21209-4358

Mailing address

8250 Georgia Ave Apt 1319
Silver Spring, MD 20910-5075
Phone (201) 577-6728

Other practice location 1

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000

Other practice location 2

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000

Other practice location 3

300 Community Dr
Manhasset, NY 11030
Phone (562) 516-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191029002426 MD Practitioner - Neurology 6406190081 Reassigns benefits to 2 organizations
I20200818004010 DC Practitioner - Critical Care (Intensivists) 6406190081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

5051 Greenspring Ave
Baltimore, MD 21209-4354
Phone (410) 601-9513

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2909721NYMDCritical Care Medicine (Internal Medicine) Physician
D0088236MDMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc CurrentSince Jun 15, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2020 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Nov 25, 2019 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jun 15, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2020 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Nov 25, 2019 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Lifebridge Community Physicians, Inc Critical Care Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2401 W Belvedere Ave
Baltimore, MD 21215

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5051 Greenspring Ave
Ste 302
Baltimore, MD 21209
Phone (410) 343-3001

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1861812182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 GEORGIA AVE APT 1319",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105075",
            "telephone_number": "201-577-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094358",
            "telephone_number": "410-601-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "11030",
            "country_code": "US",
            "telephone_number": "562-516-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAOUF",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "2909721",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "MD",
            "license": "D0088236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.