DR. SWARNA P RAI MD
NPI 1710266655
Internal Medicine - Endocrinology, Diabetes & Metabolism in Metairie, LA

Q: What is Swarna Rai's NPI number?

The NPI number for Swarna Rai is 1710266655. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Q: What is Swarna Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Swarna Rai was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 10, 2011PECOS EnrolledAccepts Medicare Assignment

4430 VETERANS MEMORIAL BLVD, METAIRIE, LA 70006(504) 433-7491 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 20, 2020, May 9, 2016 (2 updates tracked since 2016).

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About Dr. Swarna P Rai Md NPPES

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

DR. SWARNA P RAI MD (NPI 1710266655) is an individual endocrinology, diabetes & metabolism provider in Metairie, Louisiana, licensed in Louisiana (334777) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1710266655

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SWARNA P RAICredential: MD

Location Address4430 VETERANS MEMORIAL BLVDMetairie, LA 70006-5329

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000

Phone(504) 433-7491

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 10, 2011

Last NPPES UpdateApril 25, 20232 updates tracked since enumeration

NPPES CertifiedApril 25, 2023

✔ NPI 1710266655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in LA · 334777✔ Licensed in IA · MD-41608✔ Licensed in IL · 036140505

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125060253 (IL)

4430 VETERANS MEMORIAL BLVD, Metairie, LA 70006

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Secondary Practice Location 1

Location 1350 W Carpenter StSpringfield, IL 62702-4902 · Phone (217) 528-7541

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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. Swarna P 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 ID7012133580

PECOS Enrollment IDI20230503002270

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 3

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.

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.

118 services85 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190079

Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County

Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190274

Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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

$128.88 typical visit price

range $55.50 – $170.30

Typical copayment $32.22 (range $13.87 – $42.57)

Most-billed visit code 99204

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

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 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers20 claims245 services$17.81 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers20 claims673 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

23 suppliers58 claims235 services$6.12 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

19 suppliers30 claims68 services$0.85 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers12 claims12 services$286.66 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

19 suppliers464 claims465 services$185.47 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.

MEAGAN JERNIGAN FNP-C

Nurse Practitioner (Family)