JIN HEE RA MD NPI 1629125380

NPI Information

  • NPI: 1629125380
  • Provider Name: JIN HEE RA, MD
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 655 W 8TH ST
    UFJP SURGERY DEPARTMENT
    JACKSONVILLE, FL
    ZIP 32209
  • Phone: (904) 383-1015

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NPI Details

Jin Hee Ra, MD is a surgical critical care surgery in Jacksonville, FL with 24 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Jin Hee Ra, MD NPI is 1629125380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

655 W 8TH ST
UFJP SURGERY DEPARTMENT
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 383-1015
Fax: (904) 244-4079

The NPI 1629125380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMT179830PENNSYLVANIANo
22086S0102XSurgerySurgical Critical CareME107640FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10024329-00MEDICAIDFLORIDA
2581826893AMEDICAIDGEORGIA
3EG092ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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