DR. SANJAY J RAISONI MD
NPI 1891937785
Internal Medicine in San Francisco, CA
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
Specialties & Licenses 3
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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Sanjay Raisoni reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 962 clinicians in this Medicare group
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
San Francisco, CA 94133
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 46 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California and Michigan enrollments
- 48 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Waimea, HI 96796
- Reassigned Medicare billing, Hawaii enrollment
- 94 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.
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.
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.
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
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.
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.
SAN FRANCISCO, CA 94109
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.
Which organizations bill Medicare for Sanjay Raisoni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Raisoni reassigns Medicare benefits to 9 organizations: Galen Inpatient Physicians Inc (San Francisco, CA), Vituity Hospitalists PC (San Francisco, CA), Discover Health Medical Group 2, Inc. (San Francisco, CA), Northbay Healthcare Group (Fairfield, CA), Veeone Medical Group II Professional Corporation (Roseville, CA) and 4 more organizations, listed in the Medicare section above. 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 Sanjay Raisoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjay Raisoni accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian 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 16 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.