Jordan Benjamin Raheb
NPI 1821650136ActiveIndividual· Physician Assistant· Cumberland, RI
Physician Assistant with Lifespan Physician Group Inc, practicing in Cumberland, Rhode Island. 15 Medicare patients in 2024, $2,524 paid; nearly all of their 63 Part D prescriptions were generic (92%). Lists Rhode Island Hospital as a hospital affiliation.
Overview
| NPI | 1821650136 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 8, 2019 |
| Last updated in NPPES | Sep 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA001176 | RI |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA); Practitioner - Physician Assistant (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 18 across 6 procedure codes |
| Paid by Medicare | $2,524 |
Part D prescriptions in 2024
| Prescriptions (claims) | 63 · 65 30-day fills |
|---|---|
| Patients | 24 |
| Total drug cost | $380.86 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliation
- Rhode Island HospitalProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Cumberland
- 1417332685
- 1265800023
- 1851763650
- 1295621811
- 1851398135
- 1043078405
- 1780316315
- 1265972350
- 1437902327