RAAFAT Z ABDEL-MISIH MD
NPI 1821088048
Surgery in Newark, DE

NPI Status: Active since October 27, 2005

Contact Information

4701 OGLETOWN STANTON RD
SUITE 4000
NEWARK, DE
ZIP 19713
Phone: (302) 658-7533

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  • Individual
  • Male
  • Surgery
  • PECOS Enrolled

About RAAFAT ABDEL-MISIH

This page provides the complete NPI Profile along with additional information for Raafat Abdel-misih, a provider established in Newark, Delaware with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1821088048 assigned on October 2005. The practitioner's primary taxonomy code is 208600000X with license number C1-0001752 (DE). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1821088048
Provider Name
RAAFAT Z ABDEL-MISIH MD
Gender
Male
Entity Type
Individual
Location Address
4701 OGLETOWN STANTON RD SUITE 4000 NEWARK, DE 19713
Location Phone
(302) 658-7533
Mailing Address
4701 OGLETOWN STANTON RD SUITE 4000 NEWARK, DE 19713
Mailing Phone
(302) 658-7533
Is Sole Proprietor?
No
Enumeration Date
10-27-2005
Last Update Date
10-18-2010
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A surgeon like Raafat Abdel-misih treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
C1-0001752
License State
DE
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B66443MEDICARE UPIN (02)DE 
011580C55MEDICARE PIN (08)DE 

Medicare Participation & PECOS Enrollment Status

Raafat Abdel-misih is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19713 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.37
  • Minimum New Patient Price $57.12
  • Maximum New Patient Price $173.08
  • Average New Patient Copayment $22.09
  • Minimum New Patient Copayment $14.28
  • Maximum New Patient Copayment $43.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.19
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $141.05
  • Average Established Patient Copayment $17.79
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $35.26

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821088048
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841081608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 8 + 1 + 6 + 0 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1821088048 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649275124DR. ROBERT BRADLEY SLEASE MD
Individual
Internal Medicine (Hematology)4701 OGLETOWN STANTON RD STE 4200
NEWARK, DE 19713
(302) 737-7700
1013913292DR. SCOTT WILLIAM HALL MD
Individual
Internal Medicine (Hematology)4701 OGLETOWN STANTON RD STE 4200
NEWARK, DE 19713
(302) 737-7700
1134128283 STEVEN CHARLES FALCHUK MD
Individual
Internal Medicine (Hematology & Oncology)4701 OGLETOWN STANTON RD SUITE 2400
NEWARK, DE 19713
(302) 731-7782
1235123837 BRENDA KAY MCKENZIE MSN
Individual
Nurse Practitioner (Family)4701 OGLETOWN STANTON RD SUITE 2335
NEWARK, DE 19713
(302) 623-4285
1619967841DR. JOSEPH J BENNETT M.D.
Individual
Surgery4701 OGLETOWN STANTON RD SUITE 4000
NEWARK, DE 19713
(302) 658-7533
1508834680 GREGORY A MASTERS MD
Individual
Internal Medicine (Medical Oncology)4701 OGLETOWN STANTON RD SUITE 2200
NEWARK, DE 19713
(302) 366-1200
1841268927 STEPHEN S GRUBBS MD
Individual
Internal Medicine (Medical Oncology)4701 OGLETOWN STANTON RD SUITE 2200
NEWARK, DE 19713
(302) 366-1200
1932178050 SANTOS ERIC MARTIN MD
Individual
Internal Medicine (Hematology)4701 OGLETOWN STANTON RD SUITE 3400
NEWARK, DE 19713
(302) 366-1200
1710955943 LORETTA H MECK FNP
Individual
Nurse Practitioner (Family)4701 OGLETOWN STANTON RD SUITE 2200
NEWARK, DE 19713
(302) 366-1200
1265400303 DIONNE J DENDY ANP
Individual
Nurse Practitioner (Adult Health)4701 OGLETOWN STANTON RD SUITE 2200
NEWARK, DE 19713
(302) 366-1200
1427008622 JAMIL KHATRI M.D.
Individual
Internal Medicine (Hematology & Oncology)4701 OGLETOWN STANTON RD SUITE 2400
NEWARK, DE 19713
(302) 731-7782
1588614697 BARBARA NEILAN M.D.
Individual
Internal Medicine (Hematology & Oncology)4701 OGLETOWN STANTON RD SUITE 2400
NEWARK, DE 19713
(302) 731-7782
1114977246 ELIZABETH GALANTE N.P.
Individual
Nurse Practitioner (Adult Health)4701 OGLETOWN STANTON RD SUITE 2400
NEWARK, DE 19713
(302) 731-7782
1679524573 TIMOTHY F. WOZNIAK M.D.
Individual
Internal Medicine (Hematology & Oncology)4701 OGLETOWN STANTON RD SUITE 2400
NEWARK, DE 19713
(302) 731-7782
1215960869MRS. ZOHRA J. ALI-KHAN CATTS M.S.
Individual
Genetic Counselor, MS4701 OGLETOWN STANTON RD SUITE 1212
NEWARK, DE 19713
(302) 623-4722
1982717930DR. MICHAEL W. LANKIEWICZ MD
Individual
Internal Medicine (Hematology)4701 OGLETOWN STANTON RD SUITE 4200
NEWARK, DE 19713
(302) 454-9830
1558440701DELAWARE CLINICAL & LABORATORY PHYSICIANS, PA
Organization
Internal Medicine (Hematology)4701 OGLETOWN STANTON RD SUITE 4200
NEWARK, DE 19713
(302) 454-9830
1174665822 JAMAL G. MISLEH MD
Individual
Internal Medicine (Hematology & Oncology)4701 OGLETOWN STANTON RD SUITE 3400
NEWARK, DE 19713
(302) 366-1200
1588890990 SCOTT D SIEGEL PHD
Individual
Psychologist (Clinical)4701 OGLETOWN STANTON RD HFGCC, SUITE 1209
NEWARK, DE 19713
(302) 623-4890
1750657029CHRISTIANA CARE HEALTH SERVICES INC
Organization
Genetic Counselor, MS4701 OGLETOWN STANTON RD SUITE 2200 CANCER GENETICS
NEWARK, DE 19713
(302) 623-4593

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821088048, enumerated in the NPI registry as an "individual" on October 27, 2005

The provider is located at 4701 Ogletown Stanton Rd Suite 4000 Newark, De 19713 and the phone number is (302) 658-7533

The provider's speciality is Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.37 with an average copayment of $22.09 for new patient appointments. Established patients should expect a typical charge of $71.19 and an average copayment of 17.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on October 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.