RAKHEE JAYANT BARAI MD
NPI 1083174072
Internal Medicine - Endocrinology, Diabetes & Metabolism in West Orange, NJ

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
375 MOUNT PLEASANT AVE STE 206, WEST ORANGE, NJ 07052(973) 261-1460 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rakhee Jayant Barai Md NPPES

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

RAKHEE JAYANT BARAI MD (NPI 1083174072) is an individual endocrinology, diabetes & metabolism provider in West Orange, New Jersey, licensed in California (A178261) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1083174072
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameRAKHEE JAYANT BARAICredential: MD
Location Address375 MOUNT PLEASANT AVE STE 206West Orange, NJ 07052-2751
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1083174072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in CA · A178261✔ Licensed in NJ · 25MA12332800
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
375 MOUNT PLEASANT AVE STE 206, West Orange, NJ 07052

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

Rakhee Jayant Barai 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 ID42689465
PECOS Enrollment IDI20250113002884
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 Reassignment

Medicare enrollment records show Rakhee Barai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
375 MOUNT PLEASANT AVE STE 206
WEST ORANGE, NJ 07052

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 Rakhee Barai's NPI number?

The NPI number for Rakhee Barai is 1083174072. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Rakhee Barai located?

Rakhee Barai practices at 375 Mount Pleasant Ave Ste 206, West Orange, NJ 07052. The listed phone number is (973) 261-1460.

What is Rakhee Barai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Rakhee Barai enrolled in Medicare?

Yes. Rakhee Barai 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 organization bills Medicare for Rakhee Barai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakhee Barai reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Rakhee Barai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakhee Barai accept?

Health plans from Oscar Health list Rakhee Barai 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.

When was this NPI record last updated?

The NPPES record for Rakhee Barai was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.