RAUL SANCHEZ M.D.
NPI 1336501576
Pediatrics - Pediatric Gastroenterology in Westerville, OH
About Raul Sanchez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAUL SANCHEZ M.D. (NPI 1336501576) is an individual pediatric gastroenterology provider in Westerville, Ohio, licensed in Ohio (35136564) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Nationwide Children's Hospital, and maintains 13 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 13
Other Identifiers 2
Accepted 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
Raul Sanchez 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raul Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 976 clinicians in this Medicare group
Columbus, OH 43205
- Reassigned Medicare billing, Ohio enrollment
- 1,246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nationwide Children's Hospital
Childrens · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43082 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESTERVILLE, OH 43082
WESTERVILLE, OH 43082
WESTERVILLE, OH 43082
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 Raul Sanchez's NPI number?
The NPI number for Raul Sanchez is 1336501576. It was assigned to this individual provider in the NPPES registry on March 27, 2016.
Where is Raul Sanchez located?
Raul Sanchez practices at 433 N Cleveland Ave, Westerville, OH 43082. The listed phone number is (614) 355-8300.
What is Raul Sanchez's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Raul Sanchez enrolled in Medicare?
Yes. Raul Sanchez 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 Raul Sanchez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raul Sanchez reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). 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 Raul Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raul Sanchez accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and UnitedHealthcare list Raul Sanchez 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 Raul Sanchez affiliated with any hospitals?
According to CMS data, Raul Sanchez is affiliated with Nationwide Children's Hospital.
When was this NPI record last updated?
The NPPES record for Raul Sanchez was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Raul Sanchez, M.D. · NPI 1336501576
Pediatric Gastroenterology physician in Westerville, Ohio. Individual provider, active in the CMS NPPES registry since March 27, 2016.
## Identity
- **NPI:** 1336501576 (Entity type: Individual)
- **Enumerated:** March 27, 2016
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 35136564 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 433 N CLEVELAND AVE, Westerville, OH 43082-8095
- **Phone:** (614) 355-8300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nationwide Children's Hospital (NPI 1851179873, Columbus, OH); Pediatric Academic Association, Inc. (NPI 1063419943, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** May 14, 2026
- **Other identifiers:** Other H920410 (OH); Medicaid 0365003 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1336501576) · Data from the CMS NPPES public registry.