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VINAY RAI
NPI 1407031370
Surgery in Albuquerque, NM

Active since January 09, 2008PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-2111 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Mar 22, 2017 (2 updates tracked since 2017).

About Vinay Rai NPPES

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

VINAY RAI (NPI 1407031370) is an individual surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2012-0221) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1407031370
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVINAY RAI
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 272-2111
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 9, 2008
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1407031370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NM · MD2012-0221
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2211 LOMAS BLVD NE, Albuquerque, NM 87106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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

Vinay Rai 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 ID8527210434
PECOS Enrollment IDI20121128000355
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.

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

GLYNNIS INGALL
Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2445
DR. RACHEL ELIZABETH WEMHOFF MD
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2245
DR. JAMES MAXWELL DECKER AUD
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3535
ISABELLA REITZ-PEREZ MD
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-4161
LAURA MIGLIACCIO
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2242
DR. KAREN RENEE CRAIG M.D.
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-0011
DR. LESLIE ERIN STRICKLER DO
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-5551
UNM MEDICAL GROUP INC
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3200

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 Vinay Rai's NPI number?

The NPI number for Vinay Rai is 1407031370. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Vinay Rai located?

Vinay Rai practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-2111.

What is Vinay Rai's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Vinay Rai enrolled in Medicare?

Yes. Vinay 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.

What insurance does Vinay Rai accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Vinay 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.

Is Vinay Rai affiliated with any hospitals?

According to CMS data, Vinay Rai is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Vinay Rai was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.