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DR. KARANDEV S RAI M.D.
NPI 1811212475
Psychiatry & Neurology - Neurology in Riverside, CA

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
4234 RIVERWALK PKWY, SUITE 280, RIVERSIDE, CA 92505(951) 785-7190(951) 688-7246 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2020, Dec 28, 2015 (2 updates tracked since 2015).

About Dr. Karandev S Rai M.d. NPPES

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

DR. KARANDEV S RAI M.D. (NPI 1811212475) is an individual neurology provider in Riverside, California, licensed in California (A118806) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2010).

NPPES Registry Identity

NPI1811212475
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KARANDEV S RAICredential: M.D.
Location Address4234 RIVERWALK PKWY, SUITE 280Riverside, CA 92505-8510
Mailing Address4234 Riverwalk Pkwy 280Riverside, CA 92505-3370 · (951) 785-7190 · Fax (951) 688-7246
Phone(951) 785-7190
Fax(951) 688-7246
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2010
Enumeration DateApril 7, 2010
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1811212475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A118806
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4234 RIVERWALK PKWY, Riverside, CA 92505
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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. Karandev S 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 ID1951526300
PECOS Enrollment IDI20140627001137
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.
398 services185 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.
71 services71 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92505 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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…
9%368 patients1/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
77%145 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%3,222 patients5/55-star benchmark: 100%
Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
All female patients of childbearing potential (12 - 44 years old) diagnosed with epilepsy who were counseled or referred for counseling for how epilepsy and its treatment may affect contraception OR pregnancy at least once a year
30%91 patients
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.
95%3,616 patients4/55-star benchmark: 100%
Exercise and Appropriate Physical Activity Counseling for Patients with MS
Percentage of patients with MS who are counseled* on the benefits of exercise and appropriate physical activity for patients with MS in the past 12 months.
46%37 patients
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
13%368 patients1/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
38%461 patients2/55-star benchmark: 90%
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.
97%936 patients4/55-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.
39%1,673 patients2/55-star benchmark: 100%
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…
59%1,673 patients3/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
18%1,373 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…
3%1,673 patients1/55-star benchmark: 79%
Sleep Apnea: Assessment of Sleep Symptoms
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness
76%83 patients4/55-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 16

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

RIVERWALK FACIAL AND ORAL SURGERY
Clinic/Center (Oral and Maxillofacial Surgery)
4234 RIVERWALK PKWY, SUITE 140
RIVERSIDE, CA 92505
Riverside County (909) 327-8818
BRET POWERS DO INC
Orthopaedic Surgery (Sports Medicine)
4234 RIVERWALK PKWY, STE 200
RIVERSIDE, CA 92505
Riverside County (951) 270-0882
RIVERWALK SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4234 RIVERWALK PKWY, SUITE 140
RIVERSIDE, CA 92505
Riverside County (951) 509-9204
EL-BERSHAWI MEDICAL CORP
Internal Medicine (Critical Care Medicine)
4234 RIVERWALK PKWY, SUITE 230
RIVERSIDE, CA 92505
Riverside County (951) 781-3672
RIVERSIDE REGIONAL SURGERY CENTER INC
Clinic/Center (Pain)
4234 RIVERWALK PKWY, STE 160
RIVERSIDE, CA 92505
Riverside County (951) 785-7772
ADVANCED ORTHOPEDICS AND SPORTS MEDICINE, A MEDICAL CORPORATION
Orthopaedic Surgery (Sports Medicine)
4234 RIVERWALK PKWY, SUITE 200
RIVERSIDE, CA 92505
Riverside County (951) 977-2500
SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP DBA ARROWHEAD ORTHOPAEDICS
Physical Therapist
4234 RIVERWALK PKWY, SUITE 200
RIVERSIDE, CA 92505
Riverside County (909) 557-1600
RONNY G GHAZAL MD
Orthopaedic Surgery
4234 RIVERWALK PKWY, SUITE 200
RIVERSIDE, CA 92505
Riverside County (909) 557-1600

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 Karandev Rai's NPI number?

The NPI number for Karandev Rai is 1811212475. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Karandev Rai located?

Karandev Rai practices at 4234 Riverwalk Pkwy Suite 280, Riverside, CA 92505. The listed phone number is (951) 785-7190.

What is Karandev Rai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Karandev Rai enrolled in Medicare?

Yes. Karandev 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.

When was this NPI record last updated?

The NPPES record for Karandev Rai was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.