MAYUR S RALI MD
NPI 1750617239
Family Medicine in Brentwood, NY
About Mayur S Rali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYUR S RALI MD (NPI 1750617239) is an individual family medicine provider in Brentwood, New York, licensed in New York (254753) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1979).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mayur S Rali 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mayur Rali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Sayville, NY 11796
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Chs Physician Partners PC
- 944 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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 11717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRENTWOOD, NY 11717
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 Mayur Rali's NPI number?
The NPI number for Mayur Rali is 1750617239. It was assigned to this individual provider in the NPPES registry on October 19, 2009.
Where is Mayur Rali located?
Mayur Rali practices at 1869 Brentwood Road, Brentwood, NY 11717. The listed phone number is (631) 853-3400.
What is Mayur Rali's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mayur Rali enrolled in Medicare?
Yes. Mayur Rali 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.
Which organizations bill Medicare for Mayur Rali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayur Rali reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (West Sayville, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Mayur Rali'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 Mayur Rali was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mayur S Rali, MD · NPI 1750617239
Family Medicine physician in Brentwood, New York. Individual provider, active in the CMS NPPES registry since October 19, 2009.
## Identity
- **NPI:** 1750617239 (Entity type: Individual)
- **Enumerated:** October 19, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 254753 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1869 BRENTWOOD ROAD, Brentwood, NY 11717
- **Phone:** (631) 853-3400 · **Fax:** (631) 853-3498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chs Physician Partners, P.C (NPI 1679823512, West Sayville, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** April 20, 2012
- **Other identifiers:** Medicaid 03419770 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1750617239) · Data from the CMS NPPES public registry.