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DR. RAEF MADANIEH MD
NPI 1831471499
Internal Medicine in Ocoee, FL

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment
10000 W COLONIAL DR STE 281, OCOEE, FL 34761(321) 841-3467(407) 253-2563 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Jan 30, 2020 (2 updates tracked since 2020).

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

NPI1831471499
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAEF MADANIEHCredential: MD
Location Address10000 W COLONIAL DR STE 281Ocoee, FL 34761-3432
Mailing Address10000 W Colonial Dr Ste 281Ocoee, FL 34761-3432 · (321) 841-3467 · Fax (407) 253-2563
Phone(321) 841-3467
Fax(407) 253-2563
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 9, 2011
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1831471499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME129970
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME129970 (FL)
10000 W COLONIAL DR STE 281, Ocoee, FL 34761
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Secondary Practice Location 1

Location 1100 Port Washington BlvdRoslyn, NY 11576-1348 · Phone (516) 629-2090 ext. 2152 · Fax (516) 629-2094

Other Identifiers 1

Medicaid022004700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Alabama, CareSource 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

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.

PECOS PAC ID4486971355
PECOS Enrollment IDI20171014000168, I20241104003030
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
304 services140 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
171 services169 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
89 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

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, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida Capital Hospital

Acute Care Hospitals · Tallahassee, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100254
Location2626 Capital Medical BlvdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Merit Health Wesley

Acute Care Hospitals · Hattiesburg, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250094
Location5001 W Hardy StHattiesburg, MS 39402 · Lamar County
Emergency services Birthing friendly

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250104
Location2124 14th StreetMeridian, MS 39301 · Lauderdale County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%219 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MOHAMMAD UMAR RAJA
Internal Medicine (Critical Care Medicine)
10000 W COLONIAL DR STE 281
OCOEE, FL 34761
Orange County (321) 841-3467

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.

What insurance does Raef Madanieh accept?

Health plans from AvMed, Blue Cross and Blue Shield of Alabama, CareSource, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 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, Hca Florida Capital 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 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.