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DR. ANILKUMAR N RAIKER M.D.
NPI 1487616017
Internal Medicine - Hematology & Oncology in St Petersburg, FL

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6499 38TH AVE N, SUITE G1, ST PETERSBURG, FL 33710(727) 381-3761(727) 347-9348 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anilkumar N Raiker M.d. NPPES

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

DR. ANILKUMAR N RAIKER M.D. (NPI 1487616017) is an individual hematology & oncology provider in St Petersburg, Florida, licensed in Florida (ME0051314) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida St Petersburg Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1487616017
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ANILKUMAR N RAIKERCredential: M.D.
Location Address6499 38TH AVE N, SUITE G1St Petersburg, FL 33710-1656
Mailing Address6499 38th Ave N, Suite G1St Petersburg, FL 33710-1656 · (727) 381-3761 · Fax (727) 347-9348
Phone(727) 381-3761
Fax(727) 347-9348
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1487616017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME0051314
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

6499 38TH AVE N, St Petersburg, FL 33710
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Other Identifiers 4

Medicare PIN04451BFL
Medicaid055511800FL
Medicare NSC1487616017FL
Medicare UPIND84789FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next and more.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

Dr. Anilkumar N 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 ID4082601224
PECOS Enrollment IDI20040428001450
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
244 services77 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
209 services58 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
111 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services60 patients
Injection, diphenhydramine hcl, up to 50 mg J1200
Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.
68 services18 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33710 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
86%713 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,446 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
27%1,215 patients1/55-star benchmark: 100%
Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry
Percentage of patients aged 18 years and older, seen within a 12 month reporting period, with a diagnosis of chronic lymphocytic leukemia (CLL) made at any time during or prior to the reporting period who had baseline flow cytometry studies performed and…
8%36 patients
Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow
Percentage of patients aged 18 years and older with a diagnosis of myelodysplastic syndrome (MDS) or an acute leukemia who had baseline cytogenetic testing performed on bone marrow
4%23 patients
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%339 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%949 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
100%350 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%3,446 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,167 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
10%959 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 783 patients
Patients tobacco: 74% · 215 patients
93%783 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%1,167 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,167 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 659 patients
15%659 patients2/55-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.

Other Providers at the Same Location NPPES 12

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

BON-BONE MEDICAL IMAGING, INC.
Radiology (Diagnostic Radiology)
6499 38TH AVE N, SUITE G2
ST PETERSBURG, FL 33710
Pinellas County (727) 341-2866
COMPREHENSIVE CONSULTANT SERVICES
Pharmacy (Community/Retail Pharmacy)
6499 38TH AVE N, STE A1
ST PETERSBURG, FL 33710
Pinellas County (727) 344-3902
JONATHAN CEDRIC THORNTON M.D.
Dermatology
6499 38TH AVE N, SUITE B-2
ST PETERSBURG, FL 33710
Pinellas County (727) 347-6635
MR. EDWARD R MEYER BS PHARM
Pharmacist
6499 38TH AVE N, SUITE A-1
SAINT PETERSBURG, FL 33710
Pinellas County (727) 344-3902
WILLIAM GROSS, DPM, PA
Podiatrist
6499 38TH AVE N, SUITE C-2
ST PETERSBURG, FL 33710
Pinellas County (727) 345-0607
WILLIAM GROSS D.P.M.
Podiatrist
6499 38TH AVE N, SUITE C-2
ST PETERSBURG, FL 33710
Pinellas County (727) 345-0607
BRUCE UNGERLEIDER M.D.
Family Medicine
6499 38TH AVE N, SUITE B-1
ST PETERSBURG, FL 33710
Pinellas County (727) 341-2273
MRS. PAULA J. MEYER BS PHARM
Pharmacist
6499 38TH AVE N, SUITE A-1
SAINT PETERSBURG, FL 33710
Pinellas County (727) 344-3902

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 Anilkumar Raiker's NPI number?

The NPI number for Anilkumar Raiker is 1487616017. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Anilkumar Raiker located?

Anilkumar Raiker practices at 6499 38th Ave N Suite G1, St Petersburg, FL 33710. The listed phone number is (727) 381-3761.

What is Anilkumar Raiker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Anilkumar Raiker enrolled in Medicare?

Yes. Anilkumar 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.

What insurance does Anilkumar Raiker accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Anilkumar 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 Anilkumar Raiker affiliated with any hospitals?

According to CMS data, Anilkumar Raiker is affiliated with Hca Florida St Petersburg Hospital.

When was this NPI record last updated?

The NPPES record for Anilkumar Raiker was last updated on February 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.