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DR. PAUL G RAUBOLT DDS
NPI 1922199561
Dentist in Grosse Pointe Woods, MI

Active since September 27, 2006PECOS Enrolled
21219 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 882-7961(313) 882-8630 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul G Raubolt Dds NPPES

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

DR. PAUL G RAUBOLT DDS (NPI 1922199561) is an individual dentist in Grosse Pointe Woods, Michigan, licensed in Michigan (MI15350) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922199561
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PAUL G RAUBOLTCredential: DDS
Location Address21219 MACK AVEGrosse Pointe Woods, MI 48236
Mailing Address21219 Mack AveGrosse Pointe Woods, MI 48236 · (313) 882-7961 · Fax (313) 882-8630
Phone(313) 882-7961
Fax(313) 882-8630
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922199561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · MI15350
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
21219 MACK AVE, Grosse Pointe Woods, MI 48236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Paul G Raubolt Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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 4

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

DR. MARK F KUSCH DDS
Dentist
21219 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 882-7961
DR. SIV'S DENTISTRY PLLC
Clinic/Center (Dental)
21219 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 882-7961
KUSCH & RAUBOLT PLLC
Dentist (General Practice)
21219 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 882-7961
DR. SUDARVIZHI SIVARAMAN D.M.D
Dentist (General Practice)
21219 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 882-7961

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 Paul Raubolt's NPI number?

The NPI number for Paul Raubolt is 1922199561. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Paul Raubolt located?

Paul Raubolt practices at 21219 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 882-7961.

What is Paul Raubolt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Paul Raubolt enrolled in Medicare?

Yes. Paul Raubolt is registered in the Medicare PECOS enrollment system.

What insurance does Paul Raubolt accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Paul Raubolt 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.

When was this NPI record last updated?

The NPPES record for Paul Raubolt was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.