DR. HAMID REZA JALALI, D.O., P.A.
NPI 1205085164
General Practice in Orange, TX

Active since September 16, 2008
11946 HWY 62 NORTH, ORANGE, TX 77632(409) 745-4421 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hamid Reza Jalali, D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HAMID REZA JALALI, D.O., P.A. (NPI 1205085164) is a healthcare organization registered as a general practice in Orange, Texas and active in the NPI registry since September 2008. The organization lists Hamid Reza Jalali, Physician, as its authorized official.

NPPES Registry Identity

NPI1205085164
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDR. HAMID REZA JALALI, D.O., P.A.
Location Address11946 HWY 62 NORTHOrange, TX 77632
Mailing AddressPo Box 966Mauriceville, TX 77626-0966 · (409) 745-4421
Organization SubpartNo
Authorized OfficialHamid Reza JalaliPhysician · (409) 745-4421
Enumeration DateSeptember 16, 2008
✔ NPI 1205085164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · H0491
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11946 HWY 62 NORTH, Orange, TX 77632

Other Identifiers 2

Medicaid122951002TX
Medicare PINPENDINGTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hamid Reza Jalali, D.o., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20081105000157Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Hamid Reza Jalali, D.O., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1033115076
11946 HIGHWAY 62 N
Orange, TX 77632
(409) 745-4421
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Hamid Reza Jalali, D.O., P.A.'s NPI number?

The NPI number for Dr. Hamid Reza Jalali, D.O., P.A. is 1205085164. It was assigned to this organization in the NPPES registry on September 16, 2008.

Where is Dr. Hamid Reza Jalali, D.O., P.A. located?

Dr. Hamid Reza Jalali, D.O., P.A. is located at 11946 Hwy 62 North, Orange, TX 77632. The listed phone number is (409) 745-4421.

What is Dr. Hamid Reza Jalali, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dr. Hamid Reza Jalali, D.O., P.A. enrolled in Medicare?

Yes. Dr. Hamid Reza Jalali, D.O., P.A. is registered in the Medicare PECOS enrollment system.

When is Dr. Hamid Reza Jalali, D.O., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Hamid Reza Jalali, D.O., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr. Hamid Reza Jalali, D.O., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Hamid Reza Jalali, D.O., P.A. was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.