SHIVALLI DHARMENDRA RAI PA
NPI 1861365876
Physician Assistant - Surgical in Evansville, IN
About Shivalli Dharmendra Rai Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIVALLI DHARMENDRA RAI PA (NPI 1861365876) is an individual surgical provider in Evansville, Indiana, licensed in Indiana (10005089A) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and maintains a secondary practice location in Evansville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shivalli Dharmendra Rai Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Evansville
Acute Care Hospitals · Evansville, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
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 Shivalli Rai's NPI number?
The NPI number for Shivalli Rai is 1861365876. It was assigned to this individual provider in the NPPES registry on September 25, 2025.
Where is Shivalli Rai located?
Shivalli Rai practices at 901 Saint Marys Dr Ste 300, Evansville, IN 47714. The listed phone number is (812) 473-2642.
What is Shivalli Rai's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Shivalli Rai enrolled in Medicare?
Yes. Shivalli 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.
Is Shivalli Rai affiliated with any hospitals?
According to CMS data, Shivalli Rai is affiliated with Ascension St Vincent Evansville.
When was this NPI record last updated?
The NPPES record for Shivalli Rai was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Shivalli Dharmendra Rai, PA · NPI 1861365876
Surgical physician in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since September 25, 2025.
## Identity
- **NPI:** 1861365876 (Entity type: Individual)
- **Enumerated:** September 25, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 10005089A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 SAINT MARYS DR STE 300, Evansville, IN 47714-0521
- **Phone:** (812) 473-2642
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861365876) · Data from the CMS NPPES public registry.