RAMI MOUDED DDS
NPI 1104167824
Dentist - General Practice in Lakewood, OH
About Rami Mouded Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAMI MOUDED DDS (NPI 1104167824) is an individual general practice provider in Lakewood, Ohio, licensed in Ohio (30021496) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rami Mouded Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rami Mouded reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, OH 44107
- Reassigned Medicare billing, Ohio enrollment
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 44107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rami Mouded's NPI number?
The NPI number for Rami Mouded is 1104167824. It was assigned to this individual provider in the NPPES registry on March 5, 2013.
Where is Rami Mouded located?
Rami Mouded practices at 14865 Detroit Ave, Lakewood, OH 44107. The listed phone number is (216) 772-2310.
What is Rami Mouded's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Rami Mouded enrolled in Medicare?
Yes. Rami Mouded is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rami Mouded's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rami Mouded reassigns Medicare benefits to Icare Dental LLC (Lakewood, OH). 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 Rami Mouded's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rami Mouded accept?
Health plans from BEST Life, Delta Dental of Ohio, Dominion National, Guardian and HRI Dental & Vision and 5 other insurers list Rami Mouded 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 Rami Mouded was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rami Mouded, DDS · NPI 1104167824
General Practice provider in Lakewood, Ohio. Individual provider, active in the CMS NPPES registry since March 5, 2013.
## Identity
- **NPI:** 1104167824 (Entity type: Individual)
- **Enumerated:** March 5, 2013
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 30021496 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14865 DETROIT AVE, Lakewood, OH 44107-3909
- **Phone:** (216) 772-2310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Icare Dental LLC (NPI 1669242657, Lakewood, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104167824) · Data from the CMS NPPES public registry.