Mr Raafe Rashad Ghouse, MD - Medicare Pediatrics in Pittsburgh, PA

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Mr Raafe Rashad Ghouse, MD is a medicare enrolled "Pediatrics" physician in Pittsburgh, Pennsylvania. His current practice location is 4401 Penn Ave, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 692-5180.

Mr Raafe Rashad Ghouse is licensed to practice in Maryland (license number D77723) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629232582.

Contact Information

Mr Raafe Rashad Ghouse, MD
4401 Penn Ave,
Pittsburgh, PA 15224-1334
(412) 692-5180
(412) 692-7355

Map and Direction




Physician's Profile

Full NameMr Raafe Rashad Ghouse
GenderMale
SpecialityPediatrics
Location4401 Penn Ave, Pittsburgh, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629232582
  • Provider Enumeration Date: 07/10/2008
  • Last Update Date: 09/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345469466
  • Enrollment ID: I20140922001753

Medical Identifiers

Medical identifiers for Mr Raafe Rashad Ghouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629232582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D77723 (Maryland)Primary
2080P0206XPediatrics - Pediatric Gastroenterology D77723 (Maryland)Secondary
282N00000XGeneral Acute Care Hospital (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Raafe Rashad Ghouse allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Raafe Rashad Ghouse is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Raafe Rashad Ghouse, MD
4401 Penn Ave,
Pittsburgh, PA 15224-1334

Ph: (412) 692-5180		Mr Raafe Rashad Ghouse, MD
4401 Penn Ave,
Pittsburgh, PA 15224-1334

Ph: (412) 692-5180

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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