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DALIA RAICHOUNI
NPI 1811763360
Physician Assistant in Detroit, MI

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment
259 MACK AVE, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalia Raichouni NPPES

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

DALIA RAICHOUNI (NPI 1811763360) is an individual physician assistant in Detroit, Michigan and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Farmington Hills, and is a graduate of Wayne State University School Of Medicine (2024).

NPPES Registry Identity

NPI1811763360
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDALIA RAICHOUNI
Location Address259 MACK AVEDetroit, MI 48201-2427
Mailing Address259 Mack AveDetroit, MI 48201-2427 · (313) 577-1716
Phone(313) 577-1716
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2024
Enumeration DateNovember 27, 2023
Last NPPES UpdateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1811763360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
259 MACK AVE, Detroit, MI 48201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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

Dalia Raichouni 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 ID4688107790
PECOS Enrollment IDI20241029000131
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

ANNABEL SHAMMAMI
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
NAMI O EDWARDS CRNA
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-7689
WESLEY CHIU
Pharmacist
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
ESMERALDA LOPEZ
Student in an Organized Health Care Education/Training Program
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1368
AQUANDRALYN BAJRIC
Registered Nurse
259 MACK AVE
DETROIT, MI 48201
Wayne County (616) 272-0659
SARA HOUSTINA PA
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
STEPHANIE JENSEN PELARSKI
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Wayne County (734) 301-0529
DR. KENYETTA NICOLE NESBITT PHARM.D.
Pharmacist (Pharmacotherapy)
259 MACK AVE, EACPHS SUITE 2190
DETROIT, MI 48201
Wayne County (313) 993-7465

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 Dalia Raichouni's NPI number?

The NPI number for Dalia Raichouni is 1811763360. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Dalia Raichouni located?

Dalia Raichouni practices at 259 Mack Ave, Detroit, MI 48201. The listed phone number is (313) 577-1716.

What is Dalia Raichouni's specialty?

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

Is Dalia Raichouni enrolled in Medicare?

Yes. Dalia Raichouni 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 Dalia Raichouni accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Dalia Raichouni 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 Dalia Raichouni affiliated with any hospitals?

According to CMS data, Dalia Raichouni is affiliated with Beaumont Hospital - Farmington Hills.

When was this NPI record last updated?

The NPPES record for Dalia Raichouni was last updated on June 10, 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.