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DR. RACHID ELKOUSTAF M.D.
NPI 1790865764
Internal Medicine - Cardiovascular Disease in Kingston, NY

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
111 MARYS AVE, SUITE 3, KINGSTON, NY 12401(845) 339-3663(845) 339-3629 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rachid Elkoustaf M.d. NPPES

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

DR. RACHID ELKOUSTAF M.D. (NPI 1790865764) is an individual cardiovascular disease provider in Kingston, New York, licensed in Minnesota (102692) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2000).

NPPES Registry Identity

NPI1790865764
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RACHID ELKOUSTAFCredential: M.D.
Location Address111 MARYS AVE, SUITE 3Kingston, NY 12401-5852
Mailing Address4 Atrium Dr, Ste 100, Attn: Tammy M. TaftAlbany, NY 12205-1522 · (518) 435-2740 · Fax (518) 458-2610
Phone(845) 339-3663
Fax(845) 339-3629
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2000
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 8, 2021
✔ NPI 1790865764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MN · 102692
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 244744 (NY)
111 MARYS AVE, Kingston, NY 12401
Open in Google Maps ↗

Other Identifiers 3

Medicaid02890857NY
Other4RR92NW001NY · Medicare - Downstate
OtherRB5458NY · Medicare - Upstate

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. Rachid Elkoustaf 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.

PECOS PAC ID8426056714
PECOS Enrollment IDI20110509000438
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 Rachid Elkoustaf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,389 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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 15

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

TANYA NERONE FNP
Nurse Practitioner (Family)
111 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 437-5000
DR. DIMITRIOS P PAPADOPOULOS MD
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 339-7700
DR. PAUL M REITER M.D.
Internal Medicine (Cardiovascular Disease)
111 MARYS AVE, SUITE 3
KINGSTON, NY 12401
Ulster County (845) 339-3663
DR. THOMAS V MAZZILLI MD
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 339-7700
DR. EDWARD M FARHANGI MD
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 339-7700
DR. CAMILO G TORRES MD
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 339-7700
KINGSTON RADIATION ONCOLOGY
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 339-7700
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Internal Medicine
111 MARYS AVE, SUITE 3
KINGSTON, NY 12401
Ulster County (845) 339-3663

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 Rachid Elkoustaf's NPI number?

The NPI number for Rachid Elkoustaf is 1790865764. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Rachid Elkoustaf located?

Rachid Elkoustaf practices at 111 Marys Ave Suite 3, Kingston, NY 12401. The listed phone number is (845) 339-3663.

What is Rachid Elkoustaf's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rachid Elkoustaf enrolled in Medicare?

Yes. Rachid Elkoustaf 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 Rachid Elkoustaf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachid Elkoustaf reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Rachid Elkoustaf'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 Rachid Elkoustaf was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.