DR. RAEF MADANIEH MD
NPI 1831471499
Internal Medicine in Ocoee, FL
About Dr. Raef Madanieh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAEF MADANIEH MD (NPI 1831471499) is an individual internal medicine provider in Ocoee, Florida, licensed in Florida (ME129970) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and maintains a secondary practice location in Roslyn.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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. Raef Madanieh 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.
Medicare Billing Reassignments
16Medicare enrollment records show Raef Madanieh reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orlando, FL 32806
- Reassigned Medicare billing, Florida enrollment
- 3,290 clinicians in this Medicare group
Lake Wales, FL 33853
- Reassigned Medicare billing, Florida enrollment
- 96 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 861 clinicians in this Medicare group
Panama City, FL 32401
- Reassigned Medicare billing, Florida enrollment
- 281 clinicians in this Medicare group
Opp, AL 36467
- Reassigned Medicare billing, Alabama enrollment
- 22 clinicians in this Medicare group
Gulf Breeze, FL 32561
- Reassigned Medicare billing, Florida enrollment
- 150 clinicians in this Medicare group
Pensacola, FL 32514
- Reassigned Medicare billing, Florida enrollment
- 601 clinicians in this Medicare group
Mobile, AL 36607
- Reassigned Medicare billing, Alabama enrollment
- 144 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 263 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Hospital
Acute Care Hospitals · Pensacola, FLGulf Breeze Hospital
Acute Care Hospitals · Gulf Breeze, FLMerit Health Wesley
Acute Care Hospitals · Hattiesburg, MSAnderson Regional Medical Center
Acute Care Hospitals · Meridian, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCOEE, FL 34761
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 Raef Madanieh's NPI number?
The NPI number for Raef Madanieh is 1831471499. It was assigned to this individual provider in the NPPES registry on September 9, 2011.
Where is Raef Madanieh located?
Raef Madanieh practices at 10000 W Colonial Dr Ste 281, Ocoee, FL 34761. The listed phone number is (321) 841-3467.
What is Raef Madanieh's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Raef Madanieh enrolled in Medicare?
Yes. Raef Madanieh 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 organizations bill Medicare for Raef Madanieh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raef Madanieh reassigns Medicare benefits to 16 organizations: Orlando Health Medical Group Inc (Orlando, FL), Lake Wales Physician Services, LLC (Lake Wales, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL), Hni Hospital Services Of Florida, LLC (Panama City, FL) and 11 more organizations, listed in the Medicare section above. Each 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 Raef Madanieh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raef Madanieh accept?
Health plans from Blue Cross and Blue Shield of Alabama, CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Raef Madanieh 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 Raef Madanieh affiliated with any hospitals?
According to CMS data, Raef Madanieh is affiliated with Baptist Hospital, Gulf Breeze Hospital, Merit Health Wesley and Anderson Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Raef Madanieh was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Raef Madanieh, MD · NPI 1831471499
Internal Medicine physician in Ocoee, Florida. Individual provider, active in the CMS NPPES registry since September 9, 2011.
## Identity
- **NPI:** 1831471499 (Entity type: Individual)
- **Enumerated:** September 9, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME129970 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10000 W COLONIAL DR STE 281, Ocoee, FL 34761-3432
- **Phone:** (321) 841-3467 · **Fax:** (407) 253-2563
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Orlando Health Medical Group Inc (NPI 1669429577, Orlando, FL); Lake Wales Physician Services, LLC (NPI 1164902797, Lake Wales, FL); Hni Medical Services Of Florida, LLC (NPI 1679048284, Jacksonville, FL); Hospital Medicine Services Of Fl, LLC (NPI 1710684857, Aventura, FL); Hni Hospital Services Of Florida, LLC (NPI 1144851411, Panama City, FL); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 1, 2025
- **Other identifiers:** Medicaid 022004700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1831471499) · Data from the CMS NPPES public registry.