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KANTI RAI MD
NPI 1063572105
Internal Medicine - Hematology & Oncology in New Hyde Park, NY

Active since December 11, 2006PECOS Enrolled
74.06/100
CMS Quality Rating
LIJMC DEPT OF MED HEMATOLOGY ONCOLOGY CHIEF, 270 05 76TH AVENUE, NEW HYDE PARK, NY 11040(718) 470-7135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kanti Rai Md NPPES

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

KANTI RAI MD (NPI 1063572105) is an individual hematology & oncology provider in New Hyde Park, New York, licensed in New York (102500) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063572105
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKANTI RAICredential: MD
Location AddressLIJMC DEPT OF MED HEMATOLOGY ONCOLOGY CHIEF, 270 05 76TH AVENUENew Hyde Park, NY 11040
Mailing AddressLijmc Dept Of Med Hematology Oncology Chief, Lijmc Dept Of Med Hematology Oncology ChiefNew Hyde Park, NY 11040 · (718) 470-7135
Phone(718) 470-7135
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063572105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 102500
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
LIJMC DEPT OF MED HEMATOLOGY ONCOLOGY CHIEF, New Hyde Park, NY 11040
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanti Rai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kanti Rai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
0.3 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
North Shore Health System Medical Faculty Group Practice Inc
0.4 mi
Hematology & Oncology
450 LAKEVILLE RD
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New York enrollment
  • 198 clinicians in this Medicare group
NPI 1003409061 (516) 734-8900

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
146 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.17
Promoting Interoperability85
Improvement Activities40
Cost56.37

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims960 services$34.37 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$308.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kanti Rai's NPI number?

The NPI number for Kanti Rai is 1063572105. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Kanti Rai located?

Kanti Rai practices at Lijmc Dept Of Med Hematology Oncology Chief 270 05 76th Avenue, New Hyde Park, NY 11040. The listed phone number is (718) 470-7135.

What is Kanti Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kanti Rai enrolled in Medicare?

Yes. Kanti Rai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kanti Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanti Rai reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and North Shore Health System Medical Faculty Group Practice Inc (New Hyde Park, NY). 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 Kanti Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kanti Rai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.