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SEEMA RAI MD
NPI 1891956991
Family Medicine in Covington, WA

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
16850 SE 272ND ST, COVINGTON, WA 98042(253) 395-1960(253) 395-2013 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Seema Rai Md NPPES

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

SEEMA RAI MD (NPI 1891956991) is an individual family medicine provider in Covington, Washington, licensed in Washington (MD60222037) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1891956991
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSEEMA RAICredential: MD
Location Address16850 SE 272ND STCovington, WA 98042-4931
Mailing AddressPo Box 34876Seattle, WA 98124-1876 · (425) 656-5412 · Fax (425) 656-4096
Phone(253) 395-1960
Fax(253) 395-2013
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 20, 2008
Last NPPES UpdateAugust 23, 2011
✔ NPI 1891956991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60222037
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16850 SE 272ND ST, Covington, WA 98042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Seema Rai 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 ID3678744745
PECOS Enrollment IDI20110921000392
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 4

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.
180 services118 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services36 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.
28 services26 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98042 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers34 claims74 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims16 services$1.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

RESHAD MAHMUD MD
Internal Medicine (Rheumatology)
16850 SE 272ND ST
COVINGTON, WA 98042
King County (425) 690-3494
DEIDRE LOUISE FEENEY M.D.
Family Medicine
16850 SE 272ND ST
COVINGTON, WA 98042
King County (253) 395-2006
TATYANA SIDOR ARNP
Nurse Practitioner
16850 SE 272ND ST, STE 100
COVINGTON, WA 98042
King County (253) 395-1971
WILLIAM A AGAN
Physician Assistant
16850 SE 272ND ST
COVINGTON, WA 98042
King County (253) 395-1960
DR. MARK ROBERT MIKOLS D.O.
Family Medicine
16850 SE 272ND ST
COVINGTON, WA 98042
King County (253) 395-2006
RUTH BISHOP DO
Preventive Medicine (Occupational Medicine)
16850 SE 272ND ST
COVINGTON, WA 98042
King County (253) 395-1960
MICHELLE L ARBINI CCC-A
Audiologist
16850 SE 272ND ST
COVINGTON, WA 98042
King County (425) 690-3602
TUAN D NGUYEN MD
Family Medicine
16850 SE 272ND ST
COVINGTON, WA 98042
King County (253) 395-1960

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 Seema Rai's NPI number?

The NPI number for Seema Rai is 1891956991. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Seema Rai located?

Seema Rai practices at 16850 SE 272nd St, Covington, WA 98042. The listed phone number is (253) 395-1960.

What is Seema Rai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Seema Rai enrolled in Medicare?

Yes. Seema 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 Seema Rai accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Seema 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 Seema Rai affiliated with any hospitals?

According to CMS data, Seema Rai is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Seema Rai was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.