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DR. RAGHAD KOUTOUBY M.D
NPI 1043259468
Pediatrics - Pediatric Gastroenterology in Miami, FL

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
8525 SW 92ND ST STE C11A, MIAMI, FL 33156(305) 512-3345(844) 323-3689 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Raghad Koutouby M.d NPPES

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

DR. RAGHAD KOUTOUBY M.D (NPI 1043259468) is an individual pediatric gastroenterology provider in Miami, Florida, licensed in Florida (ME0055947) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1043259468
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. RAGHAD KOUTOUBYCredential: M.D
Location Address8525 SW 92ND ST STE C11AMiami, FL 33156-7386
Mailing Address8525 Sw 92nd St Ste C11aMiami, FL 33156-7386 · (305) 512-3345 · Fax (844) 323-3689
Phone(305) 512-3345
Fax(844) 323-3689
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 5, 2006
Last NPPES UpdateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1043259468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in FL · ME0055947
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
8525 SW 92ND ST STE C11A, Miami, FL 33156
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Other Identifiers 1

Medicaid373857400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Raghad Koutouby 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 ID9032487145
PECOS Enrollment IDI20170614000679
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 Raghad Koutouby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Miami Pediatric Gastroenterology LLC
Same address
Specialist
8525 SW 92ND ST, SUITE C-11A
Miami, FL 33156
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1679937742 (786) 270-3900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33156 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$5.09 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,270 services$1.09 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raghad Koutouby's NPI number?

The NPI number for Raghad Koutouby is 1043259468. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Raghad Koutouby located?

Raghad Koutouby practices at 8525 SW 92nd St Ste C11a, Miami, FL 33156. The listed phone number is (305) 512-3345.

What is Raghad Koutouby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Raghad Koutouby enrolled in Medicare?

Yes. Raghad Koutouby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Raghad Koutouby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raghad Koutouby reassigns Medicare benefits to Miami Pediatric Gastroenterology LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raghad Koutouby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raghad Koutouby accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Raghad Koutouby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raghad Koutouby was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.