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ASHISH RAI MD
NPI 1184004012
Internal Medicine - Pulmonary Disease in Salem, MA

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
93.49/100
CMS Quality Rating
81 HIGHLAND AVE, SALEM, MA 01970(978) 741-1200 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashish Rai Md NPPES

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

ASHISH RAI MD (NPI 1184004012) is an individual pulmonary disease provider in Salem, Massachusetts, licensed in New York (303053) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184004012
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameASHISH RAICredential: MD
Location Address81 HIGHLAND AVESalem, MA 01970-2714
Mailing Address81 Highland AveSalem, MA 01970-2714
Phone(978) 741-1200
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 5, 2015
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1184004012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 303053
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 303053 (NY)
81 HIGHLAND AVE, Salem, MA 01970
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashish Rai 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 ID4486961562
PECOS Enrollment IDI20241007000994
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

93.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.62
Promoting Interoperability90.58
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

JOHN PATTI MD
Radiology (Diagnostic Radiology)
81 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 741-1200
SANDEEP MISHRA
Internal Medicine
81 HIGHLAND AVE, DEPT OF MEDICINE ( HOSPITALIST)
SALEM, MA 01970
Essex County (978) 354-4727
MARGARET KILCZEWSKI NP
Registered Nurse
81 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 354-7685
OLIVIA ANGELICHIO PA
Physician Assistant
81 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 741-1200
WILFRED R LEWIS M.D.
Anesthesiology
81 HIGHLAND AVE, DEPT. ANESTHESIA,
SALEM, MA 01970
Essex County (978) 354-3384
DR. ANTHONY J GUIDI M.D.
Pathology (Anatomic Pathology)
81 HIGHLAND AVE, PATHOLOGY DEPARTMENT
SALEM, MA 01970
Essex County (978) 354-4161
MS. MEGHAN MARGARET ZAKLIN N.P.
Nurse Practitioner (Family)
81 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 825-6294
MICHAEL GEORGE BURTON-WILLIAMS MD
Internal Medicine
81 HIGHLAND AVE
SALEM, MA 01970
Essex County (978) 825-7170

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 Ashish Rai's NPI number?

The NPI number for Ashish Rai is 1184004012. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Ashish Rai located?

Ashish Rai practices at 81 Highland Ave, Salem, MA 01970. The listed phone number is (978) 741-1200.

What is Ashish Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ashish Rai enrolled in Medicare?

Yes. Ashish 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.

Is Ashish Rai affiliated with any hospitals?

According to CMS data, Ashish Rai is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Ashish Rai was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.