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MAITREYEE RAI
NPI 1851886063
Internal Medicine in Brookhaven, PA

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
1100 ALBERT RD APT A19, BROOKHAVEN, PA 19015(516) 978-6918 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Jun 29, 2018 (2 updates tracked since 2018).

About Maitreyee Rai NPPES

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

MAITREYEE RAI (NPI 1851886063) is an individual internal medicine provider in Brookhaven, Pennsylvania, licensed in Pennsylvania (MD486154) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.

NPPES Registry Identity

NPI1851886063
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMAITREYEE RAI
Location Address1100 ALBERT RD APT A19Brookhaven, PA 19015-2012
Mailing Address1100 Albert Rd Apt A19Brookhaven, PA 19015-2012
Phone(516) 978-6918
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 29, 2018
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1851886063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD486154
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 ALBERT RD APT A19, Brookhaven, PA 19015
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Secondary Practice Location 1

Location 1420 S 5th Ave Bldg NWest Reading, PA 19611-2143 · Phone (484) 628-6255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Maitreyee Rai 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 ID9739626292
PECOS Enrollment IDI20240801001671
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.
23 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19015 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 Maitreyee Rai's NPI number?

The NPI number for Maitreyee Rai is 1851886063. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Maitreyee Rai located?

Maitreyee Rai practices at 1100 Albert Rd Apt A19, Brookhaven, PA 19015. The listed phone number is (516) 978-6918.

What is Maitreyee Rai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maitreyee Rai enrolled in Medicare?

Yes. Maitreyee 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.

What insurance does Maitreyee Rai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Maitreyee 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.

Is Maitreyee Rai affiliated with any hospitals?

According to CMS data, Maitreyee Rai is affiliated with Reading Hospital, Penn State Health St. Joseph and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Maitreyee Rai was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.