TINA RAEI M.D.
NPI 1831125111
Family Medicine in San Jose, CA
NPI Status: Active since June 25, 2006
Contact Information
55 E JULIAN ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 918-2600
Fax: (408) 795-1129
- Individual
- Female
- Family Medicine
- PECOS Enrolled
About TINA RAEI
This page provides the complete NPI Profile along with additional information for Tina Raei, a primary care provider established in San Jose, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1831125111 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number A79632 (CA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1831125111
- Provider Name
- TINA RAEI M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 E JULIAN ST SAN JOSE, CA 95112
- Location Phone
- (408) 918-2600
- Location Fax
- (408) 795-1129
- Mailing Address
- 55 E JULIAN ST SAN JOSE, CA 95112
- Mailing Phone
- (408) 918-2600
- Mailing Fax
- (408) 795-1129
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2006
- Last Update Date
- 12-29-2010
- Code Navigator
A primary care provider (PCP) like Tina Raei sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A79632
- License State
- CA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare Participation & PECOS Enrollment Status
Tina Raei 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
14 DME suppliers used 45 Medicare Claims 87 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
12 DME suppliers used 26 Medicare Claims 28 Services Paid
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 95112 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $106.47
- Minimum New Patient Price $70.37
- Maximum New Patient Price $206.04
- Average New Patient Copayment $26.61
- Minimum New Patient Copayment $17.59
- Maximum New Patient Copayment $51.51
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $121.77
- Minimum Established Patient Price $23.96
- Maximum Established Patient Price $169.6
- Average Established Patient Copayment $30.44
- Minimum Established Patient Copayment $5.99
- Maximum Established Patient Copayment $42.4
* 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.
Reviews for TINA RAEI M.D.
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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. | |||||||||
| 1 | 8 | 3 | 1 | 1 | 2 | 5 | 1 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 2 | 2 | 10 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 2 + 2 + 1 + 0 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1831125111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518951391 | H ABDUL MAJID MD Individual | Psychiatry & Neurology (Neurology) | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1750317038 | GALINA KAPGAN M.D. Individual | Pediatrics | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1578599858 | GENEROSA LUMICAO M.D. Individual | Pediatrics | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1386670669 | ANGELITA SANTIAGO M.D. Individual | Pediatrics | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1558397836 | TZVETANKA ZLATANOVA M.D. Individual | General Practice | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1699705210 | MADHUR BHATNAGAR M.D. Individual | Obstetrics & Gynecology | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1144250762 | NAYYAR KHAN M.D. Individual | Pediatrics | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1801826409 | EDGAR ORATE M.D. Individual | Pediatrics | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1316977937 | CARMEN MEZA-ROCHA M.D. Individual | Family Medicine | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1760412381 | DR. CHUNG TRAN M.D. Individual | General Practice | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1679503296 | STEPHEN VALENCIA M.D. Individual | Pediatrics | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1063580322 | JEANETTE FEDASZ FNP Individual | Nurse Practitioner | 55 E JULIAN ST MEDICAL ADMINISTRATION SAN JOSE, CA 95112 (408) 918-2600 |
| 1235207598 | GLORIA LUZ SANCHEZ FNP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1316015688 | VICTORIA DEMARTINI PA-C Individual | Physician Assistant | 55 E JULIAN ST MEDICAL ADMINISTRATION DEPT. SAN JOSE, CA 95112 (408) 918-2600 |
| 1952479214 | LISA FRIEDRICHS FNP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1497823769 | NEKTARIOS BUTTERFIELD FNP Individual | Nurse Practitioner (Family) | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1417015702 | ZHELING CHEN FNP Individual | Nurse Practitioner (Primary Care) | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1285796029 | ALMA GUERRERO PA-C Individual | Physician Assistant | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
| 1396864112 | CLIFFORD G LEONG O.D. Individual | Optometrist | 55 E JULIAN ST SAN JOSE, CA 95112 (408) 918-2600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831125111, enumerated in the NPI registry as an "individual" on June 25, 2006
The provider is located at 55 E Julian St San Jose, Ca 95112 and the phone number is (408) 918-2600
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
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 $106.47 with an average copayment of $26.61 for new patient appointments. Established patients should expect a typical charge of $121.77 and an average copayment of 30.44. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 25, 2006. 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].
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