BHABI RAJ RAI
NPI 1356609069
Pediatrics in Baltimore, MD

Active since May 01, 2012PECOS Enrolled
1501 DIVISION ST, BALTIMORE, MD 21217(410) 383-8300(410) 383-3160 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bhabi Raj Rai NPPES

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

BHABI RAJ RAI (NPI 1356609069) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D0084876) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356609069
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBHABI RAJ RAI
Location Address1501 DIVISION STBaltimore, MD 21217
Mailing Address5905 Deborah Jean DrElkridge, MD 21075-1004 · (646) 508-2660
Fax(410) 383-3160
Sole ProprietorNo
Enumeration DateMay 1, 2012
Last NPPES UpdateJuly 12, 2018
✔ NPI 1356609069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0084876
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1501 DIVISION ST, Baltimore, MD 21217

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhabi Raj Rai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bhabi Rai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1501 DIVISION ST
Baltimore, MD 21217
  • Reassigned Medicare billing, Maryland enrollment
  • 114 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21217 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

Family Medicine (Adolescent Medicine)
1501 DIVISION ST
BALTIMORE, MD 21217
Nurse Practitioner (Family)
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacy Technician
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacist
1501 DIVISION ST
BALTIMORE, MD 21217
Counselor (Addiction (Substance Use Disorder))
1501 DIVISION ST
BALTIMORE, MD 21217
Dentist (General Practice)
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1501 DIVISION ST
BALTIMORE, MD 21217
Dietitian, Registered
1501 DIVISION ST
BALTIMORE, MD 21217

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 Bhabi Rai's NPI number?

The NPI number for Bhabi Rai is 1356609069. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Bhabi Rai located?

Bhabi Rai practices at 1501 Division St, Baltimore, MD 21217. The listed phone number is (410) 383-8300.

What is Bhabi Rai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bhabi Rai enrolled in Medicare?

Yes. Bhabi Rai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bhabi Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhabi Rai reassigns Medicare benefits to 2 organizations: Total Health Care Inc (Baltimore, MD) and Baltimore Medical Systems, Inc. (Baltimore, MD). 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 Bhabi Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bhabi Rai was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.