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RIVA ANILKUMAR RAIKER M.D.
NPI 1316309370
Internal Medicine in Lexington, KY

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, LEXINGTON, KY 40536(859) 323-6762(859) 323-1197 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2019, Jul 15, 2017, Mar 28, 2016 (3 updates tracked since 2016).

About Riva Anilkumar Raiker M.d. NPPES

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

RIVA ANILKUMAR RAIKER M.D. (NPI 1316309370) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (R4162) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Florida Atlantic University, College Of Medicine (2016).

NPPES Registry Identity

NPI1316309370
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRIVA ANILKUMAR RAIKERCredential: M.D.
Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE STREETLexington, KY 40536-0293
Mailing AddressUniversity Of Kentucky, 800 Rose StreetLexington, KY 40536-0293 · (859) 323-9918 · Fax (859) 323-1197
Phone(859) 323-6762
Fax(859) 323-1197
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateAugust 2, 20193 updates tracked since enumeration
✔ NPI 1316309370 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 KY · R4162✔ Licensed in CO · DR.0062652
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 DR.0062652 (CO)
UNIVERSITY OF KENTUCKY, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Molina Healthcare.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

Riva Anilkumar Raiker 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 ID6305119462
PECOS Enrollment IDI20201015000057
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

2

Medicare enrollment records show Riva Raiker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Physician Services - Southeast Professional Corporation
295 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Orlando Health Medical Group Inc
679 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

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 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.
309 services127 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.
120 services113 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.
58 services33 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services47 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers33 claims34 services$16.58 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims37 services$86.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$16.19 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 20

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

INDU ELIZABETH MATHEW MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-1786
DR. MEGAN HOFMEISTER M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 218-2100
DR. JEREMIAH PHELPS MD PHD
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6762
ASHLEY ROLLINS MD
Internal Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-2636
DR. JANELLE LOUISE REED M.D./PH.D
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5083
DR. PAUL JAMES SPICER MD
Radiology (Diagnostic Radiology)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311
LEXINGTON, KY 40536
Fayette County (859) 323-8570
ANTHONY ZACHARIAS
Orthopaedic Surgery
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 218-3044
LAURA H REYNOLDS M.D.
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6021

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 Riva Raiker's NPI number?

The NPI number for Riva Raiker is 1316309370. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Riva Raiker located?

Riva Raiker practices at University Of Kentucky 800 Rose Street, Lexington, KY 40536. The listed phone number is (859) 323-6762.

What is Riva Raiker's specialty?

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

Is Riva Raiker enrolled in Medicare?

Yes. Riva Raiker 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 Riva Raiker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riva Raiker reassigns Medicare benefits to 2 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and Orlando Health Medical Group Inc (Orlando, FL). 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 Riva Raiker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riva Raiker accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Molina Healthcare list Riva Raiker 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.

Is Riva Raiker affiliated with any hospitals?

According to CMS data, Riva Raiker is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Riva Raiker was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.