DR. RAVEN-DENEICE GRANT CAROUTHERS DDS
NPI 1386296259
Dentist - General Practice in Chicago, IL
About Dr. Raven-deneice Grant Carouthers Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAVEN-DENEICE GRANT CAROUTHERS DDS (NPI 1386296259) is an individual general practice provider in Chicago, Illinois, licensed in Texas (35602) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Raven-deneice Grant Carouthers Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Raven-deneice Carouthers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77032
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
Houston, TX 77021
- Reassigned Medicare billing, Texas enrollment
- 60 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
CHICAGO, IL 60612
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 Raven-deneice Carouthers's NPI number?
The NPI number for Raven-deneice Carouthers is 1386296259. It was assigned to this individual provider in the NPPES registry on July 11, 2019.
Where is Raven-deneice Carouthers located?
Raven-deneice Carouthers practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (713) 574-0787.
What is Raven-deneice Carouthers's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Raven-deneice Carouthers enrolled in Medicare?
Yes. Raven-deneice Carouthers is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Raven-deneice Carouthers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raven-deneice Carouthers reassigns Medicare benefits to 2 organizations: Asian American Health Coalition Of The Greater Houston Area (Houston, TX) and Harris County Hospital District (Houston, TX). 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 Raven-deneice Carouthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raven-deneice Carouthers accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Raven-deneice Carouthers 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.
When was this NPI record last updated?
The NPPES record for Raven-deneice Carouthers was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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. Raven-Deneice Grant Carouthers, DDS · NPI 1386296259
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1386296259 (Entity type: Individual)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 35602 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 820 S DAMEN AVE, Chicago, IL 60612-3728
- **Phone:** (713) 574-0787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Asian American Health Coalition Of The Greater Houston Area (NPI 1972239341, Houston, TX); Harris County Hospital District (NPI 1538833231, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386296259) · Data from the CMS NPPES public registry.