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DR. SEEMA D RAI MD
NPI 1215175666
Internal Medicine - Infectious Disease in Westbury, NY

Active since January 22, 2009PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
360 MAPLE AVE, #10746, WESTBURY, NY 11590(516) 417-4698 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Seema D Rai Md NPPES

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

DR. SEEMA D RAI MD (NPI 1215175666) is an individual infectious disease provider in Westbury, New York, licensed in New York (60249182) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of New York Medical College (2006).

NPPES Registry Identity

NPI1215175666
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SEEMA D RAICredential: MD
Location Address360 MAPLE AVE, #10746Westbury, NY 11590
Mailing Address135 Post Ave, Apt 4eWestbury, NY 11590-3147 · (516) 417-4698
Phone(516) 417-4698
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2006
Enumeration DateJanuary 22, 2009
Last NPPES UpdateAugust 12, 2013
✔ NPI 1215175666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 60249182
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 249182-1 (NY)
360 MAPLE AVE, Westbury, NY 11590
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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

Dr. Seema D 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 ID6103004528
PECOS Enrollment IDI20110706000450
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 5

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.
2,522 services478 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.
1,185 services496 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
329 services299 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.
292 services260 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
61 services29 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11590 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.33
Improvement Activities40
Cost69.53

Reported Quality Measures

Advance Care Plan
59%873 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,300 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Seema Rai's NPI number?

The NPI number for Seema Rai is 1215175666. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Where is Seema Rai located?

Seema Rai practices at 360 Maple Ave #10746, Westbury, NY 11590. The listed phone number is (516) 417-4698.

What is Seema Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Seema Rai enrolled in Medicare?

Yes. Seema 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 Seema Rai affiliated with any hospitals?

According to CMS data, Seema Rai is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Seema Rai was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.