Neilsson Rais, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

101270294 Issued in VA

Practice address

8101 Hinson Farm Rd Ste 107
Alexandria, VA 22306-3400

Phone

(703) 224-9999

Fax

(571) 384-6702

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Integrated Care PLCGroup PAC ID 5193113751, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neillson.rais.1@30472.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oklahoma Integrated Care PLC

  • Multi-Specialty Clinic/Center
  • Ardmore, OK
  • NPI 1316540495

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Greenbelt Medical Center

  • Family Medicine Physician
  • Greenbelt, MD
  • NPI 1578636858

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1073581088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 107",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063400",
            "telephone_number": "703-224-9999",
            "fax_number": "571-384-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 107",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063400",
            "telephone_number": "703-224-9999",
            "fax_number": "571-384-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14904 Jefferson Davis Hwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913908",
            "country_code": "US",
            "telephone_number": "703-224-9999",
            "fax_number": "571-384-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Town Center Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905912",
            "country_code": "US",
            "telephone_number": "703-224-9999",
            "fax_number": "571-384-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIS",
        "first_name": "NEILSSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.086957",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D64655",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "101270294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikayla Joelle Rai, OTR/L
• Rajani Rai, FNP-BC
• Kristen Betsy Raines, MD
• Saadia T Raines, RBT
• Lisa Rainey, M.D.
• Courtney Jayme Cutler Raizman, MD
• Priya Raja, ACNPC-AG
• Narian Rajan, MD
• Arun Rajaratnam, M.D
• Seher Rakin, PA-C

• Pediatrics Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.