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DR. RAAFAT BOLES MAHROUS SHEHATA M.D.
NPI 1891078846
Family Medicine in Southfield, MI

Active since September 26, 2011PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
21540 W 11 MILE RD STE 200, SOUTHFIELD, MI 48076(248) 352-2000(248) 352-8800 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, Jun 16, 2017 (2 updates tracked since 2017).

About Dr. Raafat Boles Mahrous Shehata M.d. NPPES

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

DR. RAAFAT BOLES MAHROUS SHEHATA M.D. (NPI 1891078846) is an individual family medicine provider in Southfield, Michigan, licensed in Michigan (4301099522) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1891078846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAAFAT BOLES MAHROUS SHEHATACredential: M.D.
Location Address21540 W 11 MILE RD STE 200Southfield, MI 48076-3843
Mailing AddressPo Box 1239Troy, MI 48099-1239 · (248) 824-6060 · Fax (248) 686-0772
Phone(248) 352-2000
Fax(248) 352-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 26, 2011
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
✔ NPI 1891078846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301099522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301099522 (MI)
21540 W 11 MILE RD STE 200, Southfield, MI 48076
Open in Google Maps ↗

Secondary Practice Location 1

Location 118463 Livernois AveDetroit, MI 48221-2254 · Phone (313) 861-4400

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. Raafat Boles Mahrous Shehata 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 ID7911165139
PECOS Enrollment IDI20120220000666
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
54 services34 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

Other Providers at the Same Location NPPES 4

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

JULIANA MARIE MARTINO FNP-BC
Nurse Practitioner (Family)
21540 W 11 MILE RD STE 200
SOUTHFIELD, MI 48076
Oakland County (888) 742-0285
VPA PC
Family Medicine
21540 W 11 MILE RD STE 200
SOUTHFIELD, MI 48076
Oakland County (248) 352-2000
DR. SUSAN ELIZABETH LITTLE JONES MD
Internal Medicine
21540 W 11 MILE RD STE 200
SOUTHFIELD, MI 48076
Oakland County (248) 352-2000
UZAIR MUNSHEY MD
Family Medicine
21540 W 11 MILE RD STE 200
SOUTHFIELD, MI 48076
Oakland County (248) 352-2000

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 Raafat Shehata's NPI number?

The NPI number for Raafat Shehata is 1891078846. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Raafat Shehata located?

Raafat Shehata practices at 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076. The listed phone number is (248) 352-2000.

What is Raafat Shehata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raafat Shehata enrolled in Medicare?

Yes. Raafat Shehata 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.

Is Raafat Shehata affiliated with any hospitals?

According to CMS data, Raafat Shehata is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Raafat Shehata was last updated on October 31, 2019. 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.