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JAREATHA ABDUL-RAHEEM MD
NPI 1790322485
Pediatrics in Jbsa Lackland, TX

Active since December 02, 2019PECOS Enrolled
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236(210) 916-9928(210) 916-9332 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2025, Aug 15, 2023, Feb 9, 2022 and 1 more (4 updates tracked since 2019).

About Jareatha Abdul-raheem Md NPPES

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

JAREATHA ABDUL-RAHEEM MD (NPI 1790322485) is an individual pediatrics provider in Jbsa Lackland, Texas, licensed in Nebraska (36071) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790322485
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAREATHA ABDUL-RAHEEMCredential: MD
Location Address1100 WILFORD HALL LOOP BLDG 455459Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 455459Jbsa Lackland, TX 78236-5638 · (210) 916-9928 · Fax (210) 916-9332
Phone(210) 916-9928
Fax(210) 916-9332
Sole ProprietorNo
Enumeration DateDecember 2, 2019
Last NPPES UpdateMay 24, 20254 updates tracked since enumeration
NPPES CertifiedMay 24, 2025
✔ NPI 1790322485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NE · 36071
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.
1100 WILFORD HALL LOOP BLDG 455459, Jbsa Lackland, TX 78236
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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)

Jareatha Abdul-raheem 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 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 15

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

ADAM JOSEPH JADICK LCSW
General Practice
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
ISMAEL PEREZ
Military Health Care Provider
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
AMANDA NICOLE NEPHEW
Military Health Care Provider
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
ASHTON DESSERT
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
SAN ANTONIO, TX 78236
Bexar County (210) 292-5188
THEODORE CHUNG MD
Internal Medicine (Cardiovascular Disease)
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 266-5609
JUDE EMEGO DO
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MARIE BLACK
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
MONISHA FAHIM MALEK MD
Pediatrics
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9928

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 Jareatha Abdul-raheem's NPI number?

The NPI number for Jareatha Abdul-raheem is 1790322485. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Jareatha Abdul-raheem located?

Jareatha Abdul-raheem practices at 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236. The listed phone number is (210) 916-9928.

What is Jareatha Abdul-raheem's specialty?

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

Is Jareatha Abdul-raheem enrolled in Medicare?

Yes. Jareatha Abdul-raheem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jareatha Abdul-raheem was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.