NASRIN DATAR RAINA (M.D.) – Family Medicine Physician, NPI 1003059270

NASRIN DATAR RAINA (M.D.) is a healthcare provider. based in Ponte vedra, Florida. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME139724 (FL). The NPI Number for NASRIN DATAR RAINA (M.D.) is 1003059270

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
NASRIN DATAR RAINA (M.D.)
NPI
1003059270
Phone
(904) 543-3677
Address
151 PINE LAKE DR STE B
Enumeration Date
16 April 2009
Last Update Date
15 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6156004074
Graduation Year
1999 (27 years ago)
PAC ID
2365578457
Group Practice PAC ID
1052409307
Professional Enrollment ID
I20200122000457
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for NASRIN DATAR RAINA (M.D.)

  • 151 PINE LAKE DR STE B

    PONTE VEDRA, FL 320815136

    Phone: (904) 543-3677

    Fax: (904) 587-2586

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200122000457IFamily PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8681$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3836$0
81003Automated urinalysis test1919$0
87804Detection test by immunoassay with direct visual observation for influenza virus1717$0
View full utilization report →

Insurance plans in this area (ZIP 32081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052409307View full group profile

Reviews

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Frequently asked questions

What NPI should I save for NASRIN DATAR RAINA (M.D.)?
Save NPI 1003059270 if you need a stable reference for NASRIN DATAR RAINA (M.D.).
Is NASRIN DATAR RAINA (M.D.) currently active in the NPI registry?
CMS-published data lists NASRIN DATAR RAINA (M.D.) as an active registrant.
Can you summarize NASRIN DATAR RAINA (M.D.)'s specialty in plain language?
Clinically, the directory lists NASRIN DATAR RAINA (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NASRIN DATAR RAINA (M.D.)?
The page summarizes Ponte Vedra, Florida for NASRIN DATAR RAINA (M.D.); expand the address list for detail.
Is NASRIN DATAR RAINA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1003059270. Always confirm identity and privileges with the practice and licensing boards.

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