DR. RAWAN M. ALTARAWNEH MD
NPI 1669506382
Psychiatry & Neurology - Neurology in Albuquerque, NM

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-2111 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jun 13, 2025, Dec 9, 2024 and 6 more (9 updates tracked since 2017).

About Dr. Rawan M. Altarawneh Md NPPES

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

DR. RAWAN M. ALTARAWNEH MD (NPI 1669506382) is an individual neurology provider in Albuquerque, New Mexico, licensed in Missouri (2009007675) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1669506382
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RAWAN M. ALTARAWNEHCredential: MD
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 20259 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1669506382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in MO · 2009007675 Licensed in OH · 35.126353 Licensed in NM · MD2021-0875
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Other Names 1

Other Name (5)Rawan Tarawneh Md

Secondary Practice Location 1

Location 11225 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 617-3289

Other Identifiers 1

Medicaid0135916OH

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

Dr. Rawan M. Altarawneh 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.

PECOS PAC ID7113230095
PECOS Enrollment IDI20250620002022
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 4

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 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.
92 services70 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
21 services18 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Medicare 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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Rawan Altarawneh's NPI number?

The NPI number for Rawan Altarawneh is 1669506382. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Rawan Tarawneh MD.

Where is Rawan Altarawneh located?

Rawan Altarawneh practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-2111.

What is Rawan Altarawneh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rawan Altarawneh enrolled in Medicare?

Yes. Rawan Altarawneh 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 Rawan Altarawneh accept?

Health plans from Oscar Insurance Company list Rawan Altarawneh 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 Rawan Altarawneh affiliated with any hospitals?

According to CMS data, Rawan Altarawneh is affiliated with Ssm St Clare Health Center, Ssm Health Saint Louis University Hospital and Unm Hospital.

When was this NPI record last updated?

The NPPES record for Rawan Altarawneh was last updated on July 8, 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.