NISHEETH RAI D.O.
NPI 1184948671
Internal Medicine in Honolulu, HI

Q: What is Nisheeth Rai's NPI number?

The NPI number for Nisheeth Rai is 1184948671. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Q: What is Nisheeth Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nisheeth Rai was last updated on September 25, 2023. 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.

Active since March 26, 2010PECOS EnrolledAccepts Medicare Assignment

97.59/100

CMS Quality Rating

888 S KING ST, HONOLULU, HI 96813(808) 522-4000 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nisheeth Rai D.o. NPPES

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

NISHEETH RAI D.O. (NPI 1184948671) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (DOS1733) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Straub Clinic And Hospital, and is a graduate of Mid West Medical College (2010).

NPPES Registry Identity

NPI1184948671

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNISHEETH RAICredential: D.O.

Location Address888 S KING STHonolulu, HI 96813-3097

Mailing Address888 S King StHonolulu, HI 96813-3097

Phone(808) 522-4000

Sole ProprietorNo

Medical School CMSMid West Medical CollegeGraduated 2010

Enumeration DateMarch 26, 2010

Last NPPES UpdateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1184948671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in HI · DOS1733✔ Licensed in TX · U0265

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License DOS1733 (HI)

888 S KING ST, Honolulu, HI 96813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Nisheeth Rai D.o. 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 ID446491666

PECOS Enrollment IDI20160916001264

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 4

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 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.

209 services62 patients

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.

153 services60 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

79 services72 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120022

Location888 S King StreetHonolulu, HI 96813 · Honolulu County

Emergency services

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI

OwnershipGovernment - State

CMS Certification Number121300

Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County

Emergency services Birthing friendly

Kapiolani Medical Center For Women & Children

Childrens · Honolulu, HI

OwnershipVoluntary non-profit - Private

CMS Certification Number123300

Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

97.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.16

Improvement Activities

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.

MS. SYLVIA Y. TERADA NP

Nurse Practitioner

888 S KING ST, DERMATOLOGY DEPARTMENT
HONOLULU, HI 96813

Honolulu County (808) 522-4360

DR. JOSEPH R. VIERRA M.D.

Internal Medicine (Critical Care Medicine)