JOSE ALEJANDRO RAUH-HAIN MD
NPI 1366603367
Obstetrics & Gynecology - Gynecologic Oncology in Houston, TX

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose Alejandro Rauh-hain Md NPPES

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

JOSE ALEJANDRO RAUH-HAIN MD (NPI 1366603367) is an individual gynecologic oncology provider in Houston, Texas, licensed in Texas (R1625) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1366603367
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameJOSE ALEJANDRO RAUH-HAINCredential: MD
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 23, 2008
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1366603367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in TX · R1625
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1515 HOLCOMBE BLVD, Houston, TX 77030

Other Names 1

Professional Name (2)Jose Alejandro Rauh-hain Fernandez

Other Identifiers 2

Medicaid373230701TX
Medicaid373230702TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Alejandro Rauh-hain Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789842881
PECOS Enrollment IDI20170725001975
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Rauh-hain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

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 Jose Rauh-hain's NPI number?

The NPI number for Jose Rauh-hain is 1366603367. It was assigned to this individual provider in the NPPES registry on June 23, 2008. The provider is also known as Jose Alejandro Rauh-Hain Fernandez.

Where is Jose Rauh-hain located?

Jose Rauh-hain practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Jose Rauh-hain's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Jose Rauh-hain enrolled in Medicare?

Yes. Jose Rauh-hain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose Rauh-hain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Rauh-hain reassigns Medicare benefits to 2 organizations: Physicians Referral Service (Houston, TX) and Utmb Faculty Group Practice (Galveston, TX). Each 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 Jose Rauh-hain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Rauh-hain accept?

Health plans from Oscar Insurance Company and Taro Health list Jose Rauh-hain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Rauh-hain was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.