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SWEETY RAI M.D.
NPI 1972894004
Internal Medicine in Dallas, TX

Active since April 24, 2011PECOS EnrolledAccepts Medicare Assignment
12221 MENT DRIVE, STE 1500, DALLAS, TX 75251(214) 217-1900 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sweety Rai M.d. NPPES

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

SWEETY RAI M.D. (NPI 1972894004) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (BP10039984) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972894004
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSWEETY RAICredential: M.D.
Location Address12221 MENT DRIVE, STE 1500Dallas, TX 75251-1930
Mailing Address12221 Ment Drive, Ste 1500Dallas, TX 75251 · (214) 217-1900
Phone(214) 217-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 24, 2011
Last NPPES UpdateJanuary 2, 2015
✔ NPI 1972894004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · BP10039984
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.
12221 MENT DRIVE, STE 1500, Dallas, TX 75251
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Other Names 1

Former Name (1)Sweety Jayswal Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.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

Sweety Rai M.d. 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 ID9234452228
PECOS Enrollment IDI20141224000094
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

5

Medicare enrollment records show Sweety Rai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Hospitalists PLLC
0.2 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000
Texas Health Physicians Group
2.4 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300
Questcare Matrix, PLLC
18 mi
Emergency Medicine
8300 ELDORADO PKWY
Mckinney, TX 75070
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1740605492 (954) 939-5000
Christus Trinity Clinic Texas
95 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Mother Frances Hospital Regional Health Care Center
95 mi
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1679578439 (903) 593-8441

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,198 services158 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
347 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
252 services107 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
151 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
128 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services105 patients

Hospital Affiliations CMS Care Compare

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450087
Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%194 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$12.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$56.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sweety Rai's NPI number?

The NPI number for Sweety Rai is 1972894004. It was assigned to this individual provider in the NPPES registry on April 24, 2011. The provider is also known as Sweety Jayswal MD.

Where is Sweety Rai located?

Sweety Rai practices at 12221 Ment Drive, Ste 1500, Dallas, TX 75251. The listed phone number is (214) 217-1900.

What is Sweety Rai's specialty?

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

Is Sweety Rai enrolled in Medicare?

Yes. Sweety 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.

Which organizations bill Medicare for Sweety Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sweety Rai reassigns Medicare benefits to 5 organizations: Questcare Hospitalists PLLC (Dallas, TX), Texas Health Physicians Group (Dallas, TX), Questcare Matrix, PLLC (Mckinney, TX), Christus Trinity Clinic Texas (Tyler, TX) and Mother Frances Hospital Regional Health Care Center (Tyler, TX). 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 Sweety Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sweety Rai accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Sweety 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 Sweety Rai affiliated with any hospitals?

According to CMS data, Sweety Rai is affiliated with Medical City North Hills.

When was this NPI record last updated?

The NPPES record for Sweety Rai was last updated on January 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.