AJITESH RAI M.D.
NPI 1205883097
Psychiatry & Neurology - Neurology in Alton, IL

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
4 MEMORIAL DR STE 230, ALTON, IL 62002(618) 465-8666(618) 465-8670 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2021, Mar 4, 2021 (2 updates tracked since 2021).

About Ajitesh Rai M.d. NPPES

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

AJITESH RAI M.D. (NPI 1205883097) is an individual neurology provider in Alton, Illinois, licensed in Illinois (036.116545) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1205883097
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameAJITESH RAICredential: M.D.
Location Address4 MEMORIAL DR STE 230Alton, IL 62002-6751
Mailing Address4 Memorial Dr Ste 230Alton, IL 62002-6704 · (618) 465-8666 · Fax (618) 465-8670
Fax(618) 465-8670
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 28, 2006
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1205883097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IL · 036.116545 Licensed in MO · 2005018833
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4 MEMORIAL DR STE 230, Alton, IL 62002

Secondary Practice Location 1

Location 111155 Dunn Rd Ste 109NSaint Louis, MO 63136-6148 · Phone (314) 953-8799

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

Ajitesh 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 ID1456358548
PECOS Enrollment IDI20061102000488, I20070226000060
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 13

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
678 services395 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.
106 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services70 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.
76 services73 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
65 services43 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
58 services56 patients

Hospital Affiliations CMS Care Compare 3

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
18 suppliers794 claims795 services$32.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers684 claims684 services$74.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers701 claims1,873 services$27.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers292 claims1,501 services$16.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers105 claims565 services$12.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers395 claims395 services$48.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Family Medicine (Sleep Medicine)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Internal Medicine (Gastroenterology)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Surgery
4 MEMORIAL DR STE 230
ALTON, IL 62002
Nurse Practitioner
4 MEMORIAL DR STE 230
ALTON, IL 62002
Psychiatry & Neurology (Neurology)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Internal Medicine (Pulmonary Disease)
4 MEMORIAL DR STE 230
ALTON, IL 62002
Audiologist
4 MEMORIAL DR STE 230
ALTON, IL 62002
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4 MEMORIAL DR STE 230
ALTON, IL 62002

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 Ajitesh Rai's NPI number?

The NPI number for Ajitesh Rai is 1205883097. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Ajitesh Rai located?

Ajitesh Rai practices at 4 Memorial Dr Ste 230, Alton, IL 62002. The listed phone number is (618) 465-8666.

What is Ajitesh Rai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ajitesh Rai enrolled in Medicare?

Yes. Ajitesh 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 Ajitesh Rai affiliated with any hospitals?

According to CMS data, Ajitesh Rai is affiliated with Alton Memorial Hospital, Memorial Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Ajitesh Rai was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.