MOHAMED RAAFAT MD
NPI 1548880230
Family Medicine in Utica, NY
About Mohamed Raafat Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMED RAAFAT MD (NPI 1548880230) is an individual family medicine provider in Utica, New York, licensed in Pennsylvania (MD489105) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Mohamed Raafat 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 Reassignment
Medicare enrollment records show Mohamed Raafat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PAWilkes-Barre General Hospital
Acute Care Hospitals · Wilkes-Barre, PARegional Hospital Of Scranton
Acute Care Hospitals · Scranton, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13501 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.
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 Mohamed Raafat's NPI number?
The NPI number for Mohamed Raafat is 1548880230. It was assigned to this individual provider in the NPPES registry on April 22, 2020.
Where is Mohamed Raafat located?
Mohamed Raafat practices at 120 Hobart St, Utica, NY 13501. The listed phone number is (315) 798-1149.
What is Mohamed Raafat's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mohamed Raafat enrolled in Medicare?
Yes. Mohamed Raafat 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 organization bills Medicare for Mohamed Raafat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Raafat reassigns Medicare benefits to Pennsylvania Hospitalist Group, LLC (Wilkes Barre, PA). The 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 Mohamed Raafat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mohamed Raafat affiliated with any hospitals?
According to CMS data, Mohamed Raafat is affiliated with Geisinger-Community Medical Center, Wilkes-Barre General Hospital and Regional Hospital Of Scranton.
When was this NPI record last updated?
The NPPES record for Mohamed Raafat was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mohamed Raafat, MD · NPI 1548880230
Family Medicine physician in Utica, New York. Individual provider, active in the CMS NPPES registry since April 22, 2020.
## Identity
- **NPI:** 1548880230 (Entity type: Individual)
- **Enumerated:** April 22, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD489105 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 HOBART ST, Utica, NY 13501-4308
- **Phone:** (315) 798-1149
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Pennsylvania Hospitalist Group, LLC (NPI 1558126342, Wilkes Barre, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548880230) · Data from the CMS NPPES public registry.