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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAGHD JIHAD ALYATIM PA-C
NPI 1720934524
Physician Assistant in Bridgeton, MO

Active since March 05, 2026PECOS Enrolled
12266 DEPAUL DRIVE, SUITE 205, BRIDGETON, MO 63044(314) 218-2300 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Mar 5, 2026 (2 updates tracked since 2026).

About Raghd Jihad Alyatim Pa-c NPPES

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

RAGHD JIHAD ALYATIM PA-C (NPI 1720934524) is an individual physician assistant in Bridgeton, Missouri, licensed in Missouri (2026035620) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Chicago.

NPPES Registry Identity

NPI1720934524
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRAGHD JIHAD ALYATIMCredential: PA-C
Location Address12266 DEPAUL DRIVE, SUITE 205Bridgeton, MO 63044
Mailing Address3845 Juniata St Apt 1Saint Louis, MO 63116-4813
Phone(314) 218-2300
Sole ProprietorYes
Enumeration DateMarch 5, 2026
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1720934524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2026035620
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12266 DEPAUL DRIVE, Bridgeton, MO 63044
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Secondary Practice Location 1

Location 13333 Green Bay RdNorth Chicago, IL 60064-3037 · Phone (847) 578-3000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raghd Jihad Alyatim Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TCP1, LLC
Pharmacy (Community/Retail Pharmacy)
12266 DEPAUL DRIVE, SUITE 105
BRIDGETON, MO 63044
St. Louis County (314) 344-7567
MRS. PATRICIA BOZZI PT, CHT
Specialist
12266 DEPAUL DRIVE, SUITE 115
BRIDGETON, MO 63044
St. Louis County (314) 209-7700
DR. JONATHAN DAVID DREW D.P.T.
Physical Therapist
12266 DEPAUL DRIVE, SUITE 115
BRIDGETON, MO 63044
St. Louis County (314) 209-7700
SSM DEPAUL MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
12266 DEPAUL DRIVE, SUITE 110
BRIDGETON, MO 63044
St. Louis County (314) 291-7900
MAGGIE MILLER AGNP
Nurse Practitioner (Adult Health)
12266 DEPAUL DRIVE, SUITE 205
BRIDGETON, MO 63044
St. Louis County (314) 218-2300
ARUN VENKAT M.D.
Internal Medicine (Cardiovascular Disease)
12266 DEPAUL DRIVE, 205
BRIDGETON, MO 63044
St. Louis County (314) 218-2300
MEGAN JONES RD, LD
Dietitian, Registered
12266 DEPAUL DRIVE, SUITE 210
BRIDGETON, MO 63044
St. Louis County (314) 344-6800
PHYSICIANS SURGERY CENTER AT DEPAUL LLC
Clinic/Center (Ambulatory Surgical)
12266 DEPAUL DRIVE, SUITE 10
BRIDGETON, MO 63044
St. Louis County (314) 291-7500

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 Raghd Alyatim's NPI number?

The NPI number for Raghd Alyatim is 1720934524. It was assigned to this individual provider in the NPPES registry on March 5, 2026.

Where is Raghd Alyatim located?

Raghd Alyatim practices at 12266 Depaul Drive Suite 205, Bridgeton, MO 63044. The listed phone number is (314) 218-2300.

What is Raghd Alyatim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Raghd Alyatim enrolled in Medicare?

Yes. Raghd Alyatim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raghd Alyatim was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.