Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAJAE KHRAISAT MD
NPI 1336059104
Pediatrics in Grand Rapids, MI

Q: What is Rajae Khraisat's NPI number?

The NPI number for Rajae Khraisat is 1336059104. It was assigned to this individual provider in the NPPES registry on September 11, 2026.

Q: What is Rajae Khraisat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rajae Khraisat was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since September 11, 2026PECOS Enrolled

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Sep 11, 2026 (2 updates tracked since 2026).

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About Rajae Khraisat Md NPPES

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

RAJAE KHRAISAT MD (NPI 1336059104) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351056291) and active in the NPI registry since September 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336059104

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameRAJAE KHRAISATCredential: MD

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

Mailing Address275 Michigan St NeGrand Rapids, MI 49503-2531 · (616) 391-8810

Phone(616) 391-8810

Sole ProprietorNo

Enumeration DateSeptember 11, 2026

Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1336059104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4351056291

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajae Khraisat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP RICHTER PARAS M.D.

Pediatrics