DR. RAYMOND GATHIUNI M.D
NPI 1609927763
Anesthesiology in Norristown, PA
About Dr. Raymond Gathiuni M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAYMOND GATHIUNI M.D (NPI 1609927763) is an individual anesthesiology provider in Norristown, Pennsylvania, licensed in West Virginia (29954) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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. Raymond Gathiuni 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.
Medicare Billing Reassignments
12Medicare enrollment records show Raymond Gathiuni reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Baltimore, MD 21218
- Reassigned Medicare billing, Maryland enrollment
- 311 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 717 clinicians in this Medicare group
Hagerstown, MD 21742
- Reassigned Medicare billing, Maryland enrollment
- 311 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, Virginia enrollment
- 1,217 clinicians in this Medicare group
Ranson, WV 25438
- Reassigned Medicare billing, West Virginia enrollment
- 231 clinicians in this Medicare group
Steubenville, OH 43952
- Reassigned Medicare billing, Ohio enrollment
- 19 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Circleville, OH 43113
- Reassigned Medicare billing, Ohio enrollment
- 365 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Ohio enrollment
- 763 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 2
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Meritus Medical Center
Acute Care Hospitals · Hagerstown, MDBerkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Raymond Gathiuni's NPI number?
The NPI number for Raymond Gathiuni is 1609927763. It was assigned to this individual provider in the NPPES registry on January 16, 2007.
Where is Raymond Gathiuni located?
Raymond Gathiuni practices at 804 Deer Run, Norristown, PA 19403. The listed phone number is (267) 972-2531.
What is Raymond Gathiuni's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Raymond Gathiuni enrolled in Medicare?
Yes. Raymond Gathiuni 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 Raymond Gathiuni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Gathiuni reassigns Medicare benefits to 12 organizations: Medstar Medical Group II LLC (Baltimore, MD), Medstar Medical Group Anesthesiology LLC (Baltimore, MD), First Colonies Anesthesia Associates, LLC (Columbia, MD), Meritus Medical Center Inc (Hagerstown, MD), American Anesthesiology Of Virginia PC (Falls Church, VA) and 7 more organizations, listed in the Medicare section above. 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 Raymond Gathiuni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raymond Gathiuni accept?
Health plans from CareSource list Raymond Gathiuni 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 Raymond Gathiuni affiliated with any hospitals?
According to CMS data, Raymond Gathiuni is affiliated with Meritus Medical Center, Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Raymond Gathiuni was last updated on July 3, 2024. 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.
# Dr. Raymond Gathiuni, M.D · NPI 1609927763
Anesthesiology physician in Norristown, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1609927763 (Entity type: Individual)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 29954 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 804 DEER RUN, Norristown, PA 19403-4269
- **Phone:** (267) 972-2531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD); Medstar Medical Group Anesthesiology LLC (NPI 1528578333, Baltimore, MD); First Colonies Anesthesia Associates, LLC (NPI 1740218767, Columbia, MD); Meritus Medical Center Inc (NPI 1841058831, Hagerstown, MD); American Anesthesiology Of Virginia PC (NPI 1417994872, Falls Church, VA); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609927763) · Data from the CMS NPPES public registry.