DR. RAED MOUSA (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1639913403

DR. RAED MOUSA (MD) is a healthcare provider. based in Erie, Pennsylvania. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD487376 (PA). The NPI Number for DR. RAED MOUSA (MD) is 1639913403

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAED MOUSA (MD)
NPI
1639913403
Phone
(814) 582-6160
Address
1416 DRAKE DR
Enumeration Date
25 June 2024
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144564241
Graduation Year
1999 (27 years ago)
PAC ID
5294260550
Group Practice PAC ID
0941286595
Professional Enrollment ID
I20241122002157
Address ID
PA165071427ER300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

Provider Addresses for DR. RAED MOUSA (MD)

  • 1416 DRAKE DR

    ERIE, PA 165052604

    Phone: (814) 582-6160

    Type: Mailing

  • 300 STATE ST STE 201

    ERIE, PA 165071429

    Phone: (814) 456-4241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241122002157IOphthalmologyPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941286595View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
-IA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YNY
-PA
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

What NPI should I save for DR. RAED MOUSA (MD)?
Save NPI 1639913403 if you need a stable reference for DR. RAED MOUSA (MD).
Does this profile mean DR. RAED MOUSA (MD) is currently active?
Yes — DR. RAED MOUSA (MD) appears active in the national provider directory.
What does DR. RAED MOUSA (MD) treat or focus on?
Patients typically see DR. RAED MOUSA (MD) under the specialty Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RAED MOUSA (MD)?
The snapshot lists Erie, Pennsylvania for DR. RAED MOUSA (MD); download NPPES for the complete set.
Is DR. RAED MOUSA (MD) a real provider?
This page reflects official NPPES data for NPI 1639913403. Always confirm identity and privileges with the practice and licensing boards.

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