DR. SHERIEF RAOUF M.D.
NPI 1154854354
Ophthalmology in Bronx, NY

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
98.92/100
CMS Quality Rating
2590 FRISBY AVE, BRONX, NY 10461(718) 409-9400 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jul 12, 2021 (2 updates tracked since 2021).

About Dr. Sherief Raouf M.d. NPPES

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

DR. SHERIEF RAOUF M.D. (NPI 1154854354) is an individual ophthalmology provider in Bronx, New York, licensed in New Jersey (25MA12503800) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154854354
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHERIEF RAOUFCredential: M.D.
Location Address2590 FRISBY AVEBronx, NY 10461-3240
Mailing Address2590 Frisby AveBronx, NY 10461-3240 · (718) 409-9400
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 5, 2017
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1154854354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA12503800
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 036.155920 (IL)
2590 FRISBY AVE, Bronx, NY 10461

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. Sherief Raouf 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 ID4284978974
PECOS Enrollment IDI20250326003836
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 8

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.
141 services85 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
92 services91 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
69 services69 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.
51 services39 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
37 services37 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
37 services32 patients

Hospital Affiliations CMS Care Compare

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

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

98.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.85
Improvement Activities40
Cost82.59

Other Providers at the Same Location NPPES 19

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

Ophthalmology
2590 FRISBY AVE
BRONX, NY 10461
Social Worker (Clinical)
2590 FRISBY AVE
BRONX, NY 10461
Social Worker
2590 FRISBY AVE
BRONX, NY 10461
Ophthalmology
2590 FRISBY AVE
BRONX, NY 10461
Social Worker
2590 FRISBY AVE
BRONX, NY 10461
Social Worker
2590 FRISBY AVE
BRONX, NY 10461
Social Worker
2590 FRISBY AVE
BRONX, NY 10461
Social Worker (Clinical)
2590 FRISBY AVE
BRONX, NY 10461

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 Sherief Raouf's NPI number?

The NPI number for Sherief Raouf is 1154854354. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Sherief Raouf located?

Sherief Raouf practices at 2590 Frisby Ave, Bronx, NY 10461. The listed phone number is (718) 409-9400.

What is Sherief Raouf's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sherief Raouf enrolled in Medicare?

Yes. Sherief Raouf 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.

Is Sherief Raouf affiliated with any hospitals?

According to CMS data, Sherief Raouf is affiliated with Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Sherief Raouf was last updated on March 17, 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.