JANNA RAE RAPHELSON
NPI 1770042699
Internal Medicine - Pulmonary Disease in Houston, TX

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
6411 FANNIN ST, HOUSTON, TX 77030(269) 716-4305 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Jun 4, 2026, Jun 6, 2025 and 2 more (5 updates tracked since 2019).

About Janna Rae Raphelson NPPES

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

JANNA RAE RAPHELSON (NPI 1770042699) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (W3602) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1770042699
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameJANNA RAE RAPHELSON
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address6411 Fannin StHouston, TX 77030-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1770042699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in TX · W3602✔ Licensed in CA · A177298
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License W3602 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License W3602 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License A177298 (CA)
6411 FANNIN ST, Houston, TX 77030

Secondary Practice Locations 3

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (619) 543-6268
Location 24520 Executive DrSan Diego, CA 92121-3018 · Phone (800) 926-8273
Location 39300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273

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

Janna Rae Raphelson 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 ID1557710498
PECOS Enrollment IDI20231218001370, I20260626000819
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 Janna Raphelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Gastroenterology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 1,051 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.

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

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.

Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
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 Janna Raphelson's NPI number?

The NPI number for Janna Raphelson is 1770042699. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Janna Raphelson located?

Janna Raphelson practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (269) 716-4305.

What is Janna Raphelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Janna Raphelson enrolled in Medicare?

Yes. Janna Raphelson 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 Janna Raphelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janna Raphelson reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Regents Of The University Of California - Ucsd Medical Group (San Diego, CA). 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 Janna Raphelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janna Raphelson accept?

Health plans from Oscar Insurance Company list Janna Raphelson 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 Janna Raphelson affiliated with any hospitals?

According to CMS data, Janna Raphelson is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Janna Raphelson was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.