Skip to content

Jareatha Abdul-Raheem, MD

NPI 1790322485ActiveIndividual· Pediatrics· Jbsa Lackland, TX

Pediatrics (MD) in Jbsa Lackland, Texas, licensed in NE, with an NPI issued in December 2019. Enrolled in Medicare as order and referring only - pediatric medicine.

Overview

NPI1790322485
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedDec 2, 2019
Last updated in NPPESMay 24, 2025
Certified by providerMay 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X36071NE

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Pediatric Medicine (NE)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Jbsa Lackland

All Pediatrics providers in Texas →