ANIL K RAI MD
NPI 1306830658
Psychiatry & Neurology - Psychiatry in Kingston, PA

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
676 WYOMING AVE, KINGSTON, PA 18704(570) 331-2700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anil K Rai Md NPPES

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

ANIL K RAI MD (NPI 1306830658) is an individual psychiatry provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD066744L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1306830658
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameANIL K RAICredential: MD
Location Address676 WYOMING AVEKingston, PA 18704-3857
Mailing Address20 Creekside DrWilkes Barre, PA 18702-7259 · (570) 331-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 1, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1306830658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD066744L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
676 WYOMING AVE, Kingston, PA 18704

Accepted Insurance

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

Anil K 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 ID3375537962
PECOS Enrollment IDI20040414001591
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 Anil Rai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
722 E BUTLER PIKE
Ambler, PA 19002
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 clinicians in this Medicare group
Psychiatric Hospital
3300 HENRY AVE, UNIT 4
Philadelphia, PA 19129
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
Neurology
2 HOSPITAL DR
Clarion, PA 16214
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 142 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
2,174 services256 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
55 services51 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
50 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 7

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

Counselor (Professional)
676 WYOMING AVE
KINGSTON, PA 18704
General Practice
676 WYOMING AVE, SUITE 104
KINGSTON, PA 18704
Psychologist (Clinical)
676 WYOMING AVE
KINGSTON, PA 18704
Psychologist
676 WYOMING AVE
KINGSTON, PA 18704
Dentist
676 WYOMING AVE
KINGSTON, PA 18704
Obstetrics & Gynecology
676 WYOMING AVE
KINGSTON, PA 18704
Dentist (Endodontics)
676 WYOMING AVE
KINGSTON, PA 18704

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 Anil Rai's NPI number?

The NPI number for Anil Rai is 1306830658. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Anil Rai located?

Anil Rai practices at 676 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 331-2700.

What is Anil Rai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anil Rai enrolled in Medicare?

Yes. Anil 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 Anil Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Rai reassigns Medicare benefits to 3 organizations: Uhs Of Pennsylvania Inc (Ambler, PA), Haven Behavioral Services Of Philadelphia, LLC (Philadelphia, PA) and Eastern Pennsylvania Physician Alliance LLC (Clarion, PA). 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 Anil Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil Rai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anil Rai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anil Rai was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.