DR. RAUL JESUS FLORES MD
NPI 1376938589
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Hackensack, NJ
About Dr. Raul Jesus Flores Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAUL JESUS FLORES MD (NPI 1376938589) is an individual advanced heart failure and transplant cardiology provider in Hackensack, New Jersey, licensed in New Jersey (25MA10536000) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Dr. Raul Jesus Flores 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raul Flores reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJMorristown Medical Center
Acute Care Hospitals · Morristown, NJChilton Medical Center
Acute Care Hospitals · Pompton Plains, NJNewton Medical Center
Acute Care Hospitals · Newton, NJHackettstown Medical Center
Acute Care Hospitals · Hackettstown, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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 Flores's NPI number?
The NPI number for Raul Flores is 1376938589. It was assigned to this individual provider in the NPPES registry on April 3, 2015.
Where is Raul Flores located?
Raul Flores practices at 20 Prospect Ave Ste 201, Hackensack, NJ 07601. The listed phone number is (551) 996-4849.
What is Raul Flores's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.
Is Raul Flores enrolled in Medicare?
Yes. Raul Flores 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 Flores's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raul Flores reassigns Medicare benefits to 2 organizations: Practice Associates Medical Group (Morristown, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Flores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raul Flores accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Raul Flores 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 Flores affiliated with any hospitals?
According to CMS data, Raul Flores is affiliated with Hackensack University Medical Center, Morristown Medical Center, Chilton Medical Center, Newton Medical Center and Hackettstown Medical Center.
When was this NPI record last updated?
The NPPES record for Raul Flores was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Raul Jesus Flores, MD · NPI 1376938589
Advanced Heart Failure and Transplant Cardiology physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since April 3, 2015.
## Identity
- **NPI:** 1376938589 (Entity type: Individual)
- **Enumerated:** April 3, 2015
- **Primary specialty:** Internal Medicine - Advanced Heart Failure and Transplant Cardiology · taxonomy 207RA0001X
- **State license:** 25MA10536000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 PROSPECT AVE STE 201, Hackensack, NJ 07601-1999
- **Phone:** (551) 996-4849 · **Fax:** (551) 996-8089
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Practice Associates Medical Group (NPI 1427016385, Morristown, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2015
## Record status
- **NPPES last updated:** January 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376938589) · Data from the CMS NPPES public registry.