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RAHEEM LALANI DO
NPI 1376169185
Family Medicine in Augusta, GA

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-6012 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raheem Lalani Do NPPES

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

RAHEEM LALANI DO (NPI 1376169185) is an individual family medicine provider in Augusta, Georgia, licensed in Georgia (11983) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and maintains a secondary practice location in Mckinney.

NPPES Registry Identity

NPI1376169185
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAHEEM LALANICredential: DO
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1120 15th StAugusta, GA 30912-0004 · (706) 721-6012
Phone(706) 721-6012
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 18, 2020
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1376169185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 11983
Definition

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.

1120 15TH ST, Augusta, GA 30912
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Secondary Practice Location 1

Location 17300 Eldorado Pkwy Ste 200McKinney, TX 75070-7896 · Phone (214) 964-0304

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raheem Lalani Do 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 ID3476978941
PECOS Enrollment IDI20230829002836
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.

Areas of Expertise CMS Part B claims 10

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.
246 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
31 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
23 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Raheem Lalani's NPI number?

The NPI number for Raheem Lalani is 1376169185. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Raheem Lalani located?

Raheem Lalani practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-6012.

What is Raheem Lalani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raheem Lalani enrolled in Medicare?

Yes. Raheem Lalani 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.

What insurance does Raheem Lalani accept?

Health plans from Baylor Scott and White Health Plan list Raheem Lalani 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.

Is Raheem Lalani affiliated with any hospitals?

According to CMS data, Raheem Lalani is affiliated with Medical Center Of Mckinney and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for Raheem Lalani was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.