DR. RAWAD ELIAS MD
NPI 1225326820
Internal Medicine - Hematology & Oncology in Springfield, MA

Active since July 16, 2011PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
3350 MAIN ST, SPRINGFIELD, MA 01107(413) 794-9338(413) 794-9754 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2018, Nov 15, 2016 (2 updates tracked since 2016).

About Dr. Rawad Elias Md NPPES

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

DR. RAWAD ELIAS MD (NPI 1225326820) is an individual hematology & oncology provider in Springfield, Massachusetts, licensed in Massachusetts (1016992) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Baystate Franklin Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1225326820
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RAWAD ELIASCredential: MD
Location Address3350 MAIN STSpringfield, MA 01107-1112
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-9754
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 16, 2011
Last NPPES UpdateDecember 29, 20232 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
NPI 1225326820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MA · 1016992
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.
3350 MAIN ST, Springfield, MA 01107

Accepted 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. Rawad Elias 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 ID2860610730
PECOS Enrollment IDI20240108004473
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.
111 services43 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.
52 services26 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier29 claims2,230 services$0.79 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier23 claims23 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$12.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
3350 MAIN ST
SPRINGFIELD, MA 01107
Radiology (Radiation Oncology)
3350 MAIN ST
SPRINGFIELD, MA 01107
Internal Medicine (Hematology & Oncology)
3350 MAIN ST
SPRINGFIELD, MA 01107
Nurse Practitioner (Acute Care)
3350 MAIN ST
SPRINGFIELD, MA 01107
Internal Medicine (Medical Oncology)
3350 MAIN ST
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
3350 MAIN ST
SPRINGFIELD, MA 01107
Internal Medicine (Medical Oncology)
3350 MAIN ST
SPRINGFIELD, MA 01107
Internal Medicine (Hematology & Oncology)
3350 MAIN ST
SPRINGFIELD, MA 01107

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 Rawad Elias's NPI number?

The NPI number for Rawad Elias is 1225326820. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Where is Rawad Elias located?

Rawad Elias practices at 3350 Main St, Springfield, MA 01107. The listed phone number is (413) 794-9338.

What is Rawad Elias's specialty?

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

Is Rawad Elias enrolled in Medicare?

Yes. Rawad Elias 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 Rawad Elias accept?

Health plans from Anthem Blue Cross and Blue Shield list Rawad Elias 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 Rawad Elias affiliated with any hospitals?

According to CMS data, Rawad Elias is affiliated with Baystate Franklin Medical Center, Baystate Wing Hospital, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Rawad Elias was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.