HAJRA I TILY (M.D) – Rheumatology Physician, NPI 1629246228
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
759 RHEUMATOLOGY in CA
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Provider Addresses for HAJRA I TILY (M.D)
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
MODESTO, CA 953554201
Phone: (209) 521-6097
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 163 Open Payments records for all available years, with a total value of $2,594.
Total Amount is formed as General ($2,594) + Research ($0) + Ownership ($0) = $2,594.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($778).
Total Amount
$2,594
General + Research + Ownership
Payments
163
Total payment records
General Amount
$2,594
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $778 |
| Amgen Inc. | $556 |
| Janssen Biotech, Inc. | $346 |
| Novartis Pharmaceuticals Corporation | $303 |
| GlaxoSmithKline, LLC. | $227 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090827000036 | I | Rheumatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,065 | 689 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 351 | 266 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 191 | 122 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 186 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 122 | 122 | $0 |
Insurance plans in this area (ZIP 95355)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 121 | 78 |
| RHEUMATOLOGY | CA | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 84 | 36 |
| RHEUMATOLOGY | CA | 96415 | Infusion of chemotherapy into a vein | 109 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Allergy/Immunology, Rheumatology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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