DR. RAGHAD MUHSIN ABDUL-KARIM MD
NPI 1114207172
Internal Medicine - Hematology & Oncology in Mcallen, TX

Q: What is Raghad Abdul-karim's NPI number?

The NPI number for Raghad Abdul-karim is 1114207172. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Q: What is Raghad Abdul-karim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 23, 2011PECOS EnrolledAccepts Medicare Assignment

5533 N MCCOLL ROAD, MCALLEN, TX 78504(956) 317-7966(956) 682-0018 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Jun 19, 2023, Dec 16, 2021 and 3 more (6 updates tracked since 2017).

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About Dr. Raghad Muhsin Abdul-karim Md NPPES

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

DR. RAGHAD MUHSIN ABDUL-KARIM MD (NPI 1114207172) is an individual hematology & oncology provider in Mcallen, Texas, licensed in Texas (P8435) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1114207172

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDR. RAGHAD MUHSIN ABDUL-KARIMCredential: MD

Location Address5533 N MCCOLL ROADMcallen, TX 78504-2208

Mailing Address5533 N Mccoll RoadMcallen, TX 78504-2208 · (956) 317-7966 · Fax (956) 682-0018

Phone(956) 317-7966

Fax(956) 682-0018

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 23, 2011

Last NPPES UpdateApril 9, 20256 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1114207172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in TX · P8435✔ Licensed in MI · 4301503367

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD446363 (PA)

5533 N MCCOLL ROAD, Mcallen, TX 78504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raghad Muhsin Abdul-karim 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 ID749452431

PECOS Enrollment IDI20140604000474

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.

Areas of Expertise CMS Part B claims 3

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.

693 services267 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.

77 services62 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.

61 services49 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES

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

NOVA ONCOLOGY PLLC

Internal Medicine (Medical Oncology)

5533 N MCCOLL ROAD
MCALLEN, TX 78504

Hidalgo County (956) 317-7966

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 Abdul-karim's NPI number?

The NPI number for Raghad Abdul-karim is 1114207172. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Raghad Abdul-karim located?

Raghad Abdul-karim practices at 5533 N Mccoll Road, Mcallen, TX 78504. The listed phone number is (956) 317-7966.

What is Raghad Abdul-karim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Raghad Abdul-karim enrolled in Medicare?

Yes. Raghad Abdul-karim 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.

What insurance does Raghad Abdul-karim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Raghad Abdul-karim 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 Raghad Abdul-karim affiliated with any hospitals?

According to CMS data, Raghad Abdul-karim is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Raghad Abdul-karim was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.