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NILIMA RAI M.D
NPI 1790988376
Family Medicine - Adult Medicine in Houston, TX

Active since June 09, 2007PECOS EnrolledAccepts Medicare Assignment
2900 WESLAYAN ST STE 620, HOUSTON, TX 77027(713) 961-7277(713) 961-7286 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nilima Rai M.d NPPES

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

NILIMA RAI M.D (NPI 1790988376) is an individual adult medicine provider in Houston, Texas, licensed in Texas (J6676) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1790988376
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameNILIMA RAICredential: M.D
Location Address2900 WESLAYAN ST STE 620Houston, TX 77027-5273
Mailing Address5416 Mcculloch CirHouston, TX 77056-6641 · (713) 840-0531 · Fax (713) 840-0531
Phone(713) 961-7277
Fax(713) 961-7286
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJune 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790988376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · J6676
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2900 WESLAYAN ST STE 620, Houston, TX 77027
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Other Identifiers 1

Medicare UPINF86759TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Nilima Rai 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 ID7214448570
PECOS Enrollment IDI20250614000315
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.

Medicare Billing Reassignment

Medicare enrollment records show Nilima Rai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Current Care, P.A.
3.3 mi
Urgent Care
1000 N POST OAK RD, BLDG G # 100
Houston, TX 77055
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: American Current Care PA
  • 237 clinicians in this Medicare group
NPI 1992994644 (713) 686-4868

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 77027 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Nilima Rai's NPI number?

The NPI number for Nilima Rai is 1790988376. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Nilima Rai located?

Nilima Rai practices at 2900 Weslayan St Ste 620, Houston, TX 77027. The listed phone number is (713) 961-7277.

What is Nilima Rai's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Nilima Rai enrolled in Medicare?

Yes. Nilima 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.

Which organization bills Medicare for Nilima Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilima Rai reassigns Medicare benefits to American Current Care, P.A. (Houston, TX). The 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 Nilima Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nilima Rai accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Nilima 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.

When was this NPI record last updated?

The NPPES record for Nilima Rai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.