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ANURADHA RAI M.D.
NPI 1093712523
Pediatrics in Center Valley, PA

Active since June 30, 2005PECOS Enrolled
3800 SIERRA CIR STE 100, CENTER VALLEY, PA 18034(484) 664-2090(484) 664-2089 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anuradha Rai M.d. NPPES

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

ANURADHA RAI M.D. (NPI 1093712523) is an individual pediatrics provider in Center Valley, Pennsylvania, licensed in Pennsylvania (MD475626) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1093712523
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANURADHA RAICredential: M.D.
Location Address3800 SIERRA CIR STE 100Center Valley, PA 18034-8476
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(484) 664-2090
Fax(484) 664-2089
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1093712523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD475626✔ Licensed in TX · N6439
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3800 SIERRA CIR STE 100, Center Valley, PA 18034
Open in Google Maps ↗

Secondary Practice Location 1

Location 12401 S 31st StTemple, TX 76508-2248 · Phone (254) 724-2111

Other Identifiers 1

Medicaid01699265NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anuradha Rai M.d. 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 Anuradha Rai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Internal Medicine
3800 SIERRA CIR, SUITE 115
Center Valley, PA 18034
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1215272901 (484) 664-2480
Ut Physicians
1,350 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18034 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

KELLI NICOLE HARAJDA-HURST MD
Pediatrics
3800 SIERRA CIR STE 100
CENTER VALLEY, PA 18034
Lehigh County (484) 664-2090
SARAH ELIZABETH KLEINLE DO
Pediatrics (Child Abuse Pediatrics)
3800 SIERRA CIR STE 100
CENTER VALLEY, PA 18034
Lehigh County (484) 664-2090
DR. KATIE KINDT DO
Pediatrics
3800 SIERRA CIR STE 100
CENTER VALLEY, PA 18034
Lehigh County (484) 664-2090
GAURAV NAGAR MD
Pediatrics
3800 SIERRA CIR STE 100
CENTER VALLEY, PA 18034
Lehigh County (484) 664-2090
MRS. LAUREN TUCCI SHAFER CRNP
Nurse Practitioner (Pediatrics)
3800 SIERRA CIR STE 100
CENTER VALLEY, PA 18034
Lehigh County (484) 664-2090

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 Anuradha Rai's NPI number?

The NPI number for Anuradha Rai is 1093712523. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Anuradha Rai located?

Anuradha Rai practices at 3800 Sierra Cir Ste 100, Center Valley, PA 18034. The listed phone number is (484) 664-2090.

What is Anuradha Rai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anuradha Rai enrolled in Medicare?

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

Which organizations bill Medicare for Anuradha Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anuradha Rai reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Center Valley, PA) and Ut Physicians (Houston, TX). 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 Anuradha Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anuradha Rai accept?

Health plans from Ambetter Health list Anuradha Rai 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 Anuradha Rai was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.