Individual provider Active NPI

Jared Raabe, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1710514377
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42929 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone
(405) 271-6060
Fax
(405) 271-1926
NPI assigned
Mar 24, 2020
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42929 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone (405) 271-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240521002134 OK Practitioner - Ophthalmology 5294158424 Reassigns benefits to 1 organization
I20251023000769 TX Practitioner - Ophthalmology 5294158424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel M Gold MD PAGroup PAC ID 6608856158, 11 clinicians

Practice addresses (Care Compare)

501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 723-3250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
73.92
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Gold MD PA CurrentSince Sep 29, 2025 Accepting new patients
Dean McGee Eye Institute Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Dean McGee Eye Institute CurrentSince Jul 1, 2024 Accepting new patients
University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology Ophthalmology Past Accepting new patients

Locations

608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-6060

928 S Bolton St
Jacksonville, TX 75766
Phone (903) 586-0521

501 E Kolstad St
Palestine, TX 75801
Phone (903) 723-3250

501 E Kolstad St
#B
Palestine, TX 75801
Phone (903) 723-3250

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1710514377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-6060",
            "fax_number": "405-271-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-6060",
            "fax_number": "405-271-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAABE",
        "first_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "42929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.