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MR. RAAFE RASHAD GHOUSE M.D.
NPI 1629232582
Pediatrics in Pittsburgh, PA

Active since July 10, 2008PECOS Enrolled
4401 PENN AVE, PITTSBURGH, PA 15224(412) 692-5180(412) 692-7355 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Raafe Rashad Ghouse M.d. NPPES

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

MR. RAAFE RASHAD GHOUSE M.D. (NPI 1629232582) is an individual pediatrics provider in Pittsburgh, Pennsylvania, licensed in Maryland (D77723) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629232582
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. RAAFE RASHAD GHOUSECredential: M.D.
Location Address4401 PENN AVEPittsburgh, PA 15224-1334
Mailing Address4401 Penn AvePittsburgh, PA 15224-1334 · (412) 692-5180 · Fax (412) 692-7355
Phone(412) 692-5180
Fax(412) 692-7355
Sole ProprietorYes
Enumeration DateJuly 10, 2008
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1629232582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D77723
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License D77723 (MD)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
4401 PENN AVE, Pittsburgh, PA 15224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raafe Rashad Ghouse 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.

Medicare Billing Reassignment

Medicare enrollment records show Raafe Ghouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
163 mi
Health Maintenance Organization
19450 DEERFIELD AVE
Lansdowne, VA 20176
NPI 1225156367 (703) 726-2100

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 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

KARA MARIE MARANGONI CRNP
Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
ALLISON WILLIAMS
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
FRANCES FLEDDERMANN
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
PREETHA KEYA SINHA MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5325
CHRISTIN LAWLER DEAL M.D.
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (404) 226-4169
ANNA ELISA HEIPERTZ
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
DANIELLE BROWNING
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
ADESH SURESH RANGANNA
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5135

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 Raafe Ghouse's NPI number?

The NPI number for Raafe Ghouse is 1629232582. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Raafe Ghouse located?

Raafe Ghouse practices at 4401 Penn Ave, Pittsburgh, PA 15224. The listed phone number is (412) 692-5180.

What is Raafe Ghouse's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raafe Ghouse enrolled in Medicare?

Yes. Raafe Ghouse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raafe Ghouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raafe Ghouse reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA). 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 Raafe Ghouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raafe Ghouse was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.