ROBERT SEAN RAE MD
NPI 1003852070
Internal Medicine in Cincinnati, OH

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
6121 COLERAIN AVE, CINCINNATI, OH 45239(513) 354-2466 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Nov 3, 2023, Jun 18, 2023 and 2 more (5 updates tracked since 2018).

About Robert Sean Rae Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT SEAN RAE MD (NPI 1003852070) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35.088334) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1003852070
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT SEAN RAECredential: MD
Location Address6121 COLERAIN AVECincinnati, OH 45239-6417
Mailing Address6121 Colerain AveCincinnati, OH 45239-6417 · (513) 354-2466
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 20, 2006
Last NPPES UpdateOctober 22, 20255 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1003852070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.088334
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6121 COLERAIN AVE, Cincinnati, OH 45239

Other Identifiers 8

Other000000497140OH · Anthem
Other06186OH · Paramount
Medicaid4997740MI
Other7861831OH · Aetna
OtherP00434160OH · Rrmc
Medicaid2677063OH
Other297706983OH · Tricare
Other000000522443OH · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Sean Rae Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850399148
PECOS Enrollment IDI20061121000224, I20201201002710
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Robert Rae reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
Psychiatry
245 FOREST AVE
Ludlow, KY 41016
  • Reassigned Medicare billing, Kentucky and Missouri enrollments
  • Also billed through NPI 1992503544 (Missouri)
  • 6 clinicians in this Medicare group
Internal Medicine
5971 GOLF CLUB LN
Hamilton, OH 45011
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Emergency Medicine
1075 MEDICAL CENTER PARKWAY
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
Psychiatric/Mental Health
47 WASHINGTON AVE # 168
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
239 services219 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6121 COLERAIN AVE
CINCINNATI, OH 45239
Family Medicine
6121 COLERAIN AVE
CINCINNATI, OH 45239
Non-Pharmacy Dispensing Site
6121 COLERAIN AVE
CINCINNATI, OH 45239
Nurse Practitioner
6121 COLERAIN AVE
CINCINNATI, OH 45239
Internal Medicine
6121 COLERAIN AVE
CINCINNATI, OH 45239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Rae's NPI number?

The NPI number for Robert Rae is 1003852070. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Robert Rae located?

Robert Rae practices at 6121 Colerain Ave, Cincinnati, OH 45239. The listed phone number is (513) 354-2466.

What is Robert Rae's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Rae enrolled in Medicare?

Yes. Robert Rae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Rae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rae reassigns Medicare benefits to 12 organizations: Trihealth H LLC (Cincinnati, OH), Trihealth G LLC (Cincinnati, OH), Mindcare Solutions, PC (Ludlow, KY), Mvhe Inc (Hamilton, OH), Hisey Physician Services, LLC (Middletown, OH) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Rae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Rae accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Robert Rae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Rae affiliated with any hospitals?

According to CMS data, Robert Rae is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Rae was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.