DR. MUSTAFA RAOOF M.D.
NPI 1013155019
Surgery - Surgical Oncology in Duarte, CA

Q: What is Mustafa Raoof's NPI number?

The NPI number for Mustafa Raoof is 1013155019. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Q: What is Mustafa Raoof's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Mustafa Raoof was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2009PECOS EnrolledAccepts Medicare Assignment

99.12/100

CMS Quality Rating

1500 DUARTE RD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2020, Mar 17, 2018, Aug 2, 2017 (3 updates tracked since 2017).

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About Dr. Mustafa Raoof M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MUSTAFA RAOOF M.D. (NPI 1013155019) is an individual surgical oncology provider in Duarte, California, licensed in California (A135371) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013155019

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. MUSTAFA RAOOFCredential: M.D.

Location Address1500 DUARTE RDDuarte, CA 91010-3012

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514

Phone(626) 256-4673

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 28, 2009

Last NPPES UpdateSeptember 27, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2023

✔ NPI 1013155019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in CA · A135371

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

1500 DUARTE RD, Duarte, CA 91010

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Secondary Practice Location 1

Location 11000 FivepointIrvine, CA 92618-2377 · Phone (949) 671-4673 · Fax (949) 671-4329

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mustafa Raoof M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779854658

PECOS Enrollment IDI20170810003353

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mustafa Raoof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Hope Medical Foundation

0.2 mi

Hematology & Oncology

1500 DUARTE RD
Duarte, CA 91010

Reassigned Medicare billing, California enrollment
1,335 clinicians in this Medicare group

NPI 1871886366 (626) 256-4673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

63 services41 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

32 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services24 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

22 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

13 services13 patients

Removal or destruction of cysts or growths of abdominal cavity, more than 10.0 cm 49205

This procedure involves the elimination of large cysts or growths (over 10.0 cm) from the abdominal area. It is performed when these formations could potentially harm your health. The process may involve surgical removal or destruction using specialized techniques.

11 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.23

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

2 suppliers16 claims300 services$11.29 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

2 suppliers15 claims97 services$7.50 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

2 suppliers16 claims102 services$25.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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