DR. SOPHIA ANNABEL RAIA MD
NPI 1891323820
Internal Medicine in Denver, CO
About Dr. Sophia Annabel Raia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOPHIA ANNABEL RAIA MD (NPI 1891323820) is an individual internal medicine provider in Denver, Colorado, licensed in Colorado (DR.0069332) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Sophia Annabel Raia 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 Reassignment
Medicare enrollment records show Sophia Raia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 322 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Health
Acute Care Hospitals · Portland, MEMaine Medical Center
Acute Care Hospitals · Portland, MEMemorial Hospital, The
Critical Access Hospitals · North Conway, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80218 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
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 Sophia Raia's NPI number?
The NPI number for Sophia Raia is 1891323820. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Sophia Raia located?
Sophia Raia practices at 1960 N Ogden St Ste 400, Denver, CO 80218. The listed phone number is (303) 318-1540.
What is Sophia Raia's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sophia Raia enrolled in Medicare?
Yes. Sophia Raia 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 Sophia Raia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Raia reassigns Medicare benefits to Mercy Hospital (Portland, ME). 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 Sophia Raia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Raia accept?
Health plans from Taro Health list Sophia Raia 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 Sophia Raia affiliated with any hospitals?
According to CMS data, Sophia Raia is affiliated with Northern Light Health, Maine Medical Center and Memorial Hospital, The.
When was this NPI record last updated?
The NPPES record for Sophia Raia was last updated on December 19, 2023. 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.
# Dr. Sophia Annabel Raia, MD · NPI 1891323820
Internal Medicine physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1891323820 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DR.0069332 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1960 N OGDEN ST STE 400, Denver, CO 80218-3670
- **Phone:** (303) 318-1540
## 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:** Mercy Hospital (NPI 1427313048, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1891323820) · Data from the CMS NPPES public registry.