DR. RAKESH B. SARAIYA MD
NPI 1891772919
Internal Medicine - Interventional Cardiology in Gettysburg, PA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
79.95/100
CMS Quality Rating
455 S WASHINGTON ST, SUITE 22, GETTYSBURG, PA 17325(717) 339-3105(717) 339-3107 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rakesh B. Saraiya Md NPPES

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

DR. RAKESH B. SARAIYA MD (NPI 1891772919) is an individual interventional cardiology provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MD068180L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1891772919
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. RAKESH B. SARAIYACredential: MD
Location Address455 S WASHINGTON ST, SUITE 22Gettysburg, PA 17325-2516
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 339-3105 · Fax (717) 339-3107
Fax(717) 339-3107
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 20, 2017
✔ NPI 1891772919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PA · MD068180L
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD068180L (PA)
455 S WASHINGTON ST, Gettysburg, PA 17325

Other Identifiers 5

OtherPO1837411PA · Railroad Medicare
Medicare PIN413924FLTPA
Medicaid0017417400001PA
Medicare UPINH08030PA
Medicare PIN024580PA

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. Rakesh B. Saraiya 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.

PECOS PAC ID7416946561
PECOS Enrollment IDI20250919004369
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 Reassignments

2

Medicare enrollment records show Rakesh Saraiya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
104 SELMA DR
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 23 clinicians in this Medicare group
Internal Medicine
205 E LAUREL BLVD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 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 9

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
149 services149 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
62 services62 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
42 services40 patients
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.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17325 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.91
Promoting Interoperability87
Improvement Activities40
Cost61.81

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Cardiovascular Disease)
455 S WASHINGTON ST, SUITE 22
GETTYSBURG, PA 17325
Specialist
455 S WASHINGTON ST, 16
GETTYSBURG, PA 17325
Specialist
455 S WASHINGTON ST, SUITE 24
GETTYSBURG, PA 17325
Clinic/Center (Urgent Care)
455 S WASHINGTON ST, STE 12
GETTYSBURG, PA 17325
Ophthalmology
455 S WASHINGTON ST, SUITE 24
GETTYSBURG, PA 17325
Physician Assistant
455 S WASHINGTON ST
GETTYSBURG, PA 17325
Advanced Practice Midwife
455 S WASHINGTON ST, SUITE 25
GETTYSBURG, PA 17325
Obstetrics & Gynecology (Maternal & Fetal Medicine)
455 S WASHINGTON ST
GETTYSBURG, PA 17325

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 Rakesh Saraiya's NPI number?

The NPI number for Rakesh Saraiya is 1891772919. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Rakesh Saraiya located?

Rakesh Saraiya practices at 455 S Washington St Suite 22, Gettysburg, PA 17325. The listed phone number is (717) 339-3105.

What is Rakesh Saraiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rakesh Saraiya enrolled in Medicare?

Yes. Rakesh Saraiya 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 organizations bill Medicare for Rakesh Saraiya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Saraiya reassigns Medicare benefits to 2 organizations: Selma Medical Assoc Inc (Winchester, VA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). Each 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 Rakesh Saraiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakesh Saraiya accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Rakesh Saraiya 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 Rakesh Saraiya affiliated with any hospitals?

According to CMS data, Rakesh Saraiya is affiliated with Winchester Medical Center and Warren Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rakesh Saraiya was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.