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DR. KARISHMA KAUR RAI M.D.
NPI 1174702948
Obstetrics & Gynecology - Maternal & Fetal Medicine in Sacramento, CA

Active since October 30, 2007PECOS EnrolledAccepts Medicare Assignment
1625 STOCKTON BLVD STE 205, SACRAMENTO, CA 95816(916) 862-9900(916) 862-9910 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Jan 2, 2021 (2 updates tracked since 2021).

About Dr. Karishma Kaur Rai M.d. NPPES

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

DR. KARISHMA KAUR RAI M.D. (NPI 1174702948) is an individual maternal & fetal medicine provider in Sacramento, California, licensed in California (C170094) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1174702948
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. KARISHMA KAUR RAICredential: M.D.
Location Address1625 STOCKTON BLVD STE 205Sacramento, CA 95816-7092
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 862-9900
Fax(916) 862-9910
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 30, 2007
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1174702948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in CA · C170094
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 37647 (IA)
1625 STOCKTON BLVD STE 205, Sacramento, CA 95816
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Secondary Practice Locations 2

Location 12825 Capitol AveSacramento, CA 95816-6039 · Phone (916) 887-0000
Location 24440 South West 95th Street, Advocate Christ Medical Center, Med Staff Room 109 So.Oak Lawn, IL 60453 · Phone (708) 684-5195 · Fax (708) 684-2058

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

Dr. Karishma Kaur Rai M.d. 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 ID8325104961
PECOS Enrollment IDI20201208003206
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

3

Medicare enrollment records show Karishma Rai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrix Medical Group Of Sacramento, P.C.
1.4 mi
Maternal & Fetal Medicine
5301 F ST, SUITE 207
Orange, CA 95819
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obstetrix Medical Group Of Sacramento PC
  • 31 clinicians in this Medicare group
NPI 1144593310 (916) 733-7111
Sutter Valley Medical Foundation
4.4 mi
Multi-Specialty
2700 GATEWAY OAKS DR
Sacramento, CA 95833
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1952327256 (800) 470-0071
Advocate Health And Hospitals Corp.
1,714 mi
Medicare Defined Swing Bed Unit
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1295066983 (309) 467-2371

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 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 3

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

CAMERON MARSHALL LCGC, MS
Genetic Counselor, MS
1625 STOCKTON BLVD STE 205
SACRAMENTO, CA 95816
Sacramento County (916) 862-9900
DR. SHANNON NICOLE LIANG MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1625 STOCKTON BLVD STE 205
SACRAMENTO, CA 95816
Sacramento County (916) 262-9035
DR. SHERRIE S. MCELVY M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1625 STOCKTON BLVD STE 205
SACRAMENTO, CA 95816
Sacramento County (916) 862-9900

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 Karishma Rai's NPI number?

The NPI number for Karishma Rai is 1174702948. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Karishma Rai located?

Karishma Rai practices at 1625 Stockton Blvd Ste 205, Sacramento, CA 95816. The listed phone number is (916) 862-9900.

What is Karishma Rai's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Karishma Rai enrolled in Medicare?

Yes. Karishma Rai 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 Karishma Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karishma Rai reassigns Medicare benefits to 3 organizations: Obstetrix Medical Group Of Sacramento, P.C. (Orange, CA), Sutter Valley Medical Foundation (Sacramento, CA) and Advocate Health And Hospitals Corp. (Eureka, IL). 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 Karishma 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 Karishma Rai was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.