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DR. RANIA ABOU ELENEIN MD
NPI 1114156866
Psychiatry & Neurology - Neurology in Huntingdon Valley, PA

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
3501 MASONS MILL RD STE 503, HUNTINGDON VALLEY, PA 19006(215) 938-7730 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Jan 23, 2023 (2 updates tracked since 2023).

About Dr. Rania Abou Elenein Md NPPES

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

DR. RANIA ABOU ELENEIN MD (NPI 1114156866) is an individual neurology provider in Huntingdon Valley, Pennsylvania, licensed in Indiana (01073417A) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114156866
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RANIA ABOU ELENEINCredential: MD
Location Address3501 MASONS MILL RD STE 503Huntingdon Valley, PA 19006-3517
Mailing Address210 S Quinsigamond Ave Unit 8Shrewsbury, MA 01545-4470 · (862) 596-5758 · Fax (833) 948-3611
Phone(215) 938-7730
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 2, 2009
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1114156866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 01073417A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3501 MASONS MILL RD STE 503, Huntingdon Valley, PA 19006
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Secondary Practice Locations 3

Location 1100 South St Ste 108Southbridge, MA 01550-4051 · Phone (508) 764-2515 · Fax (508) 764-2457
Location 2190 Groton Rd Ste 210Ayer, MA 01432-1189 · Phone (789) 973-3300 · Fax (833) 948-3611
Location 31251 E Main St Ste 3Annville, PA 17003-1643 · Phone (717) 791-2520 · Fax (717) 988-0551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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. Rania Abou Elenein Md 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 ID6406071448
PECOS Enrollment IDI20230206002722, I20230510000861
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 Reassignments

5

Medicare enrollment records show Rania Abou Elenein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Associates In Health Care, Inc
9.6 mi
Diagnostic Radiology
4900 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Methodist Associates In Healthcare, Inc
  • 600 clinicians in this Medicare group
NPI 1609417872 (215) 831-2063
Clinical Health Care Associates Of New Jersey PC
18 mi
Internal Medicine
1400 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 133 clinicians in this Medicare group
NPI 1124122387 (856) 216-0300
Holmdel Physician Associates
41 mi
Hospitalist
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 94 clinicians in this Medicare group
NPI 1346647328 (732) 431-2000
Caring Neurology LLC
41 mi
Neurology
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group
NPI 1427547199 (732) 431-2000
Pinnacle Health Medical Services
60 mi
Family Medicine
4229 OREGON PIKE
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1043978125 (717) 445-4371

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 9

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 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.
97 services87 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.
82 services82 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
79 services56 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.
45 services45 patients
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.
22 services22 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19006 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%474 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
34%195 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%279 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%466 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%466 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
65%466 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
44%466 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MRS. SANDRA N MAZZELLA CRNP
Nurse Practitioner
3501 MASONS MILL RD STE 503
HUNTINGDON VALLEY, PA 19006
Montgomery County (215) 938-7730
WEI ZHAO MD
Psychiatry & Neurology (Neurology)
3501 MASONS MILL RD STE 503
HUNTINGDON VALLEY, PA 19006
Montgomery County (215) 938-7730
DIANA KUKUZENKO
Nurse Practitioner (Family)
3501 MASONS MILL RD STE 503
HUNTINGDON VALLEY, PA 19006
Montgomery County (215) 938-7730

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 Rania Abou Elenein's NPI number?

The NPI number for Rania Abou Elenein is 1114156866. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Rania Abou Elenein located?

Rania Abou Elenein practices at 3501 Masons Mill Rd Ste 503, Huntingdon Valley, PA 19006. The listed phone number is (215) 938-7730.

What is Rania Abou Elenein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rania Abou Elenein enrolled in Medicare?

Yes. Rania Abou Elenein 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 organizations bill Medicare for Rania Abou Elenein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rania Abou Elenein reassigns Medicare benefits to 5 organizations: Methodist Associates In Health Care, Inc (Philadelphia, PA), Clinical Health Care Associates Of New Jersey PC (Cherry Hill, NJ), Holmdel Physician Associates (Freehold, NJ), Caring Neurology LLC (Freehold, NJ) and Pinnacle Health Medical Services (Ephrata, PA). Each 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 Rania Abou Elenein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rania Abou Elenein accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Rania Abou Elenein 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.

Is Rania Abou Elenein affiliated with any hospitals?

According to CMS data, Rania Abou Elenein is affiliated with University Medical Center Of Princeton At Plainsboro, Jefferson Health- Northeast, Thomas Jefferson University Hospital, Abington Memorial Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Rania Abou Elenein was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.