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HERLEEN RAI
NPI 1720518848
Pathology - Anatomic Pathology & Clinical Pathology in Baltimore, MD

Active since June 13, 2017PECOS Enrolled
74.39/100
CMS Quality Rating
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Herleen Rai NPPES

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

HERLEEN RAI (NPI 1720518848) is an individual anatomic pathology & clinical pathology provider in Baltimore, Maryland, licensed in Maryland (D93887) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1720518848
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameHERLEEN RAI
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Phone(410) 955-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 13, 2017
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1720518848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MD · D93887
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
600 N WOLFE ST, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Location 1

Location 111100 Euclid Ave, University Hospitals Cleveland Medical CenterCleveland, OH 44106 · Phone (216) 630-0402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2264819887
PECOS Enrollment IDI20220519000719
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.

Mechanical separation of red blood cells from blood 36512
Mechanical separation of red blood cells from blood is a process where a machine separates red blood cells from the rest of your blood. This allows for detailed study of these cells, aiding in diagnosis and treatment of various blood-related conditions.
91 services37 patients
Mechanical separation of plasma from blood 36514
Mechanical separation of plasma from blood is a procedure where your blood is drawn and placed in a machine. This machine spins the blood at high speeds, separating the plasma (a yellowish fluid) from the rest of the blood components. The plasma is then collected for medical purposes.
42 services19 patients
Blood bank physician services for investigation of transfusion reaction with written report 86078
This service involves a blood bank doctor examining a patient's reaction to a blood transfusion. The doctor will conduct tests to identify the cause and provide a written report detailing the findings and recommendations for future care.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
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.

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Herleen Rai's NPI number?

The NPI number for Herleen Rai is 1720518848. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Herleen Rai located?

Herleen Rai practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Herleen Rai's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Herleen Rai enrolled in Medicare?

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

Is Herleen Rai affiliated with any hospitals?

According to CMS data, Herleen Rai is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Herleen Rai was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.