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DR. SANJAY J RAISONI MD
NPI 1891937785
Internal Medicine in San Francisco, CA

Active since March 24, 2009PECOS EnrolledAccepts Medicare Assignment
1 DANIEL BURNHAM CT STE 370C, SAN FRANCISCO, CA 94109(415) 732-7029(415) 732-7030 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Sep 21, 2022, Dec 15, 2017 and 2 more (5 updates tracked since 2017).

About Dr. Sanjay J Raisoni Md NPPES

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

DR. SANJAY J RAISONI MD (NPI 1891937785) is an individual internal medicine provider in San Francisco, California, licensed in California (A128639) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2005).

NPPES Registry Identity

NPI1891937785
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAY J RAISONICredential: MD
Location Address1 DANIEL BURNHAM CT STE 370CSan Francisco, CA 94109-0470
Mailing Address990 Columbus AveSan Francisco, CA 94133-2310
Phone(415) 732-7029
Fax(415) 732-7030
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2005
Enumeration DateMarch 24, 2009
Last NPPES UpdateMay 29, 20255 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1891937785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A128639
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 ListedGeneral PracticeTaxonomy 208D00000X · License 60 250813 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License A128639 (CA)
1 DANIEL BURNHAM CT STE 370C, San Francisco, CA 94109
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Accepted Insurance

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

Dr. Sanjay J Raisoni 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 ID5092990234
PECOS Enrollment IDI20140520000860
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 9

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 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.
148 services88 patients
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.
84 services62 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.
27 services27 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
26 services26 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%67 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SOPHIA TRIMICA HURD MD
General Acute Care Hospital (Children)
1 DANIEL BURNHAM CT STE 370C
SAN FRANCISCO, CA 94109
San Francisco County (415) 732-7029
DR. NICOLE CALIO GLYNN MD
Pediatrics
1 DANIEL BURNHAM CT STE 370C
SAN FRANCISCO, CA 94109
San Francisco County (415) 991-4690
DR. KRISTEN HARVEY
Family Medicine
1 DANIEL BURNHAM CT STE 370C
SAN FRANCISCO, CA 94109
San Francisco County (415) 732-7029

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 Sanjay Raisoni's NPI number?

The NPI number for Sanjay Raisoni is 1891937785. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Sanjay Raisoni located?

Sanjay Raisoni practices at 1 Daniel Burnham Ct Ste 370C, San Francisco, CA 94109. The listed phone number is (415) 732-7029.

What is Sanjay Raisoni's specialty?

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

Is Sanjay Raisoni enrolled in Medicare?

Yes. Sanjay Raisoni 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 Sanjay Raisoni accept?

Health plans from McLaren Health Plan Community and Priority Health list Sanjay Raisoni 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 Sanjay Raisoni was last updated on May 29, 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.