RAUL RENE ANDINO (M.D.) – Obstetrics & Gynecology Physician, NPI 1033121652
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,734 OBSTETRICS/GYNECOLOGY in MI
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Provider Addresses for RAUL RENE ANDINO (M.D.)
505, North Jackson Street, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492011266
Phone: (517) 748-5500
Fax: (517) 780-9286
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 14 Open Payments records for all available years, with a total value of $507.
Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Ethicon US, LLC ($126).
Total Amount
$507
General + Research + Ownership
Payments
14
Total payment records
General Amount
$507
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080707000620 | I | Obstetrics/Gynecology | MI | TBD |
| I20220627002435 | I | Obstetrics/Gynecology | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | AZ | |
| Nurse Practitioner | NM | |
| General Surgery | LA | |
| General Surgery | OH | |
| Family Practice | NM | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | WI | |
| Orthopedic Surgery | NM | |
| General Surgery | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH |
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