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DR. RYAN RAOUF D.M.D.
NPI 1407205040
Dentist - Endodontics in Santa Monica, CA

Active since June 04, 2016PECOS Enrolled
1007 12TH ST, SANTA MONICA, CA 90403(310) 880-5251 Get Directions Write a Review

NPPES record last updated: December 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Raouf D.m.d. NPPES

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

DR. RYAN RAOUF D.M.D. (NPI 1407205040) is an individual endodontics provider in Santa Monica, California, licensed in California (101405) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407205040
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. RYAN RAOUFCredential: D.M.D.
Location Address1007 12TH STSanta Monica, CA 90403-4205
Mailing Address1007 12th StSanta Monica, CA 90403-4205 · (310) 880-5251
Phone(310) 880-5251
Sole ProprietorNo
Enumeration DateJune 4, 2016
Last NPPES UpdateDecember 23, 2023
NPPES CertifiedDecember 23, 2023
✔ NPI 1407205040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 101405
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1007 12TH ST, Santa Monica, CA 90403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Raouf D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Ryan Raouf's NPI number?

The NPI number for Ryan Raouf is 1407205040. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Where is Ryan Raouf located?

Ryan Raouf practices at 1007 12th St, Santa Monica, CA 90403. The listed phone number is (310) 880-5251.

What is Ryan Raouf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ryan Raouf enrolled in Medicare?

Yes. Ryan Raouf is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Raouf accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ryan Raouf 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 Ryan Raouf was last updated on December 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.