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RAOUL CORREA MD
NPI 1386219269
Internal Medicine in Loma Linda, CA

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST # 1519, LOMA LINDA, CA 92350(909) 558-4884 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2026, Feb 24, 2025, Aug 21, 2024 and 3 more (6 updates tracked since 2021).

About Raoul Correa Md NPPES

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

RAOUL CORREA MD (NPI 1386219269) is an individual internal medicine provider in Loma Linda, California, licensed in California (A204207) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains a secondary practice location in Livonia.

NPPES Registry Identity

NPI1386219269
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAOUL CORREACredential: MD
Location Address11234 ANDERSON ST # 1519Loma Linda, CA 92350-1716
Mailing Address11234 Anderson St # 1519Loma Linda, CA 92350-1716
Phone(909) 558-4884
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 24, 2021
Last NPPES UpdateApril 28, 20266 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1386219269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A204207✔ Licensed in MS · T-4399✔ Licensed in MI · 4301512704
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 4301512704 (MI)
11234 ANDERSON ST # 1519, Loma Linda, CA 92350
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Secondary Practice Location 1

Location 137595 7 Mile Rd Ste 340Livonia, MI 48152-1489 · Phone (734) 793-2470 · Fax (734) 793-2471

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Raoul Correa 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 ID6608279906
PECOS Enrollment IDI20240903000399, I20251121002349
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 Raoul Correa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
11234 ANDERSON ST
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1477503407 (909) 558-4000
Vituity - Michigan Hospitalists PC
1,861 mi
Hospitalist
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1487278156 (517) 364-1000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Raoul Correa's NPI number?

The NPI number for Raoul Correa is 1386219269. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Raoul Correa located?

Raoul Correa practices at 11234 Anderson St # 1519, Loma Linda, CA 92350. The listed phone number is (909) 558-4884.

What is Raoul Correa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raoul Correa enrolled in Medicare?

Yes. Raoul Correa 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 Raoul Correa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raoul Correa reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Vituity - Michigan Hospitalists PC (Lansing, MI). 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 Raoul Correa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raoul Correa accept?

Health plans from Priority Health list Raoul Correa 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 Raoul Correa affiliated with any hospitals?

According to CMS data, Raoul Correa is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Raoul Correa was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.