Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McKenzie Blair Raum, PA-C

Individual provider Physician Assistant · NPI 1396391025

McKenzie Blair Raum, PA-C is a Physician Assistant in Rockville, Maryland. Qualified in 2019, 7 years ago. Practices with Professional Services of Holy Cross, a 159-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

14995 Shady Grove Rd Ste 350
Rockville, MD 20850-8726
Phone: (301) 251-1433
Fax: (301) 424-5266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C07410 (MD)

Record details

NPI number1396391025
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Professional Services Of Holy Cross — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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