SAMIH HUSSEIN RAAD M.D.
NPI 1497160600
Internal Medicine - Pulmonary Disease in Lewes, DE

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
424 SAVANNAH RD, LEWES, DE 19958(302) 645-3525(302) 645-3691 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2020, Mar 17, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Samih Hussein Raad M.d. NPPES

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

SAMIH HUSSEIN RAAD M.D. (NPI 1497160600) is an individual pulmonary disease provider in Lewes, Delaware, licensed in Delaware (C1-0013609) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Lewes.

NPPES Registry Identity

NPI1497160600
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSAMIH HUSSEIN RAADCredential: M.D.
Location Address424 SAVANNAH RDLewes, DE 19958-1462
Mailing Address1515 Savannah RdLewes, DE 19958-1675 · (302) 313-2298 · Fax (302) 645-3691
Fax(302) 645-3691
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020
Enumeration DateJune 25, 2014
Last NPPES UpdateJuly 15, 20203 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
NPI 1497160600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in DE · C1-0013609 Licensed in OK · 32905
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
424 SAVANNAH RD, Lewes, DE 19958

Secondary Practice Location 1

Location 11535 Savannah RdLewes, DE 19958-1611 · Phone (302) 645-3232 · Fax (302) 645-3833

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

Samih Hussein Raad 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.

PECOS PAC ID6305061318
PECOS Enrollment IDI20200721001327
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 18

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.
613 services350 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
287 services129 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
260 services105 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.
152 services115 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
88 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services60 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers39 claims39 services$36.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers44 claims44 services$92.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers37 claims86 services$35.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers22 claims106 services$20.03 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers13 claims62 services$12.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers46 claims46 services$56.50 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.

Registered Nurse (Critical Care Medicine)
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse (Critical Care Medicine)
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD, BEEBE HEALTH CARE
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958

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 Samih Raad's NPI number?

The NPI number for Samih Raad is 1497160600. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Samih Raad located?

Samih Raad practices at 424 Savannah Rd, Lewes, DE 19958. The listed phone number is (302) 645-3525.

What is Samih Raad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Samih Raad enrolled in Medicare?

Yes. Samih Raad 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 Samih Raad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Samih Raad 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 Samih Raad affiliated with any hospitals?

According to CMS data, Samih Raad is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Samih Raad was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.