RAHEEL K NASEERUDDIN MD
NPI 1851786396
Internal Medicine in Newark, NJ
About Raheel K Naseeruddin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAHEEL K NASEERUDDIN MD (NPI 1851786396) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (1851786396) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Presence Mercy Medical Center, and maintains a secondary practice location in Eau Claire.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Raheel K Naseeruddin 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
11Medicare enrollment records show Raheel Naseeruddin reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Sparks, MD 21152
- Reassigned Medicare billing, Indiana and Ohio enrollments
- 84 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, Pennsylvania enrollment
- 147 clinicians in this Medicare group
Independence, OH 44131
- Reassigned Medicare billing, Ohio enrollment
- 35 clinicians in this Medicare group
Plymouth, IN 46563
- Reassigned Medicare billing, Indiana enrollment
- 11 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Nova Medico Sc
- 23 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 clinicians in this Medicare group
Naperville, IL 60563
- Reassigned Medicare billing, Illinois, Indiana and Pennsylvania enrollments
- 46 clinicians in this Medicare group
Naperville, IL 60563
- Reassigned Medicare billing, Illinois enrollment
- 22 clinicians in this Medicare group
Aurora, IL 60506
- Reassigned Medicare billing, Illinois enrollment
- 22 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 7
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Mercy Medical Center
Acute Care Hospitals · Aurora, ILNorthwestern Medicine Kishwaukee Hospital
Acute Care Hospitals · Dekalb, ILValley West Community Hospital
Critical Access Hospitals · Sandwich, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07102 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.
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.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
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 Raheel Naseeruddin's NPI number?
The NPI number for Raheel Naseeruddin is 1851786396. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Raheel Naseeruddin located?
Raheel Naseeruddin practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5465.
What is Raheel Naseeruddin's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Raheel Naseeruddin enrolled in Medicare?
Yes. Raheel Naseeruddin 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 Raheel Naseeruddin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raheel Naseeruddin reassigns Medicare benefits to 11 organizations: United Woundcare Institute Pennsylvania PLLC (Bala Cynwyd, PA), Consonant Healing Associates Of De LLC (Sparks, MD), Consonant Healing Medical Associates (Silver Spring, MD), United Wound & Vascular Institute Ohio PLLC (Independence, OH), Patel Family Medicine LLC (Plymouth, IN) and 6 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 Raheel Naseeruddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raheel Naseeruddin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Raheel Naseeruddin 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 Raheel Naseeruddin affiliated with any hospitals?
According to CMS data, Raheel Naseeruddin is affiliated with Presence Mercy Medical Center, Northwestern Medicine Kishwaukee Hospital and Valley West Community Hospital.
When was this NPI record last updated?
The NPPES record for Raheel Naseeruddin was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Raheel K Naseeruddin, MD · NPI 1851786396
Internal Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1851786396 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 1851786396 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 CENTRAL AVE, Newark, NJ 07102-1909
- **Phone:** (973) 877-5465
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): United Woundcare Institute Pennsylvania PLLC (NPI 1386460764, Bala Cynwyd, PA); Consonant Healing Associates Of De LLC (NPI 1669099321, Sparks, MD); Consonant Healing Medical Associates (NPI 1588122535, Silver Spring, MD); United Wound & Vascular Institute Ohio PLLC (NPI 1477311959, Independence, OH); Patel Family Medicine LLC (NPI 1225348584, Plymouth, IN); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1851786396) · Data from the CMS NPPES public registry.