Individual provider Active NPI

Kusum Rai, MD

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1093277220
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61399969 Issued in WA
Practice address
16255 NE 87TH St Ste 150
Redmond, WA 98052-7464
Phone
(425) 882-1697
Fax
(425) 885-4179
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61399969 WA Primary
Family Medicine Physician 207Q00000X MD210992 OR
Family Medicine Physician 207Q00000X 71694 AZ

Addresses

Primary practice location

16255 NE 87TH St Ste 150
Redmond, WA 98052-7464

Mailing address

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860
Phone (800) 453-3030

Other practice location 1

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860
Phone (800) 453-3030

Other practice location 2

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krai29201@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221017001555 OR Practitioner - Family Practice 0244560704 Reassigns benefits to 1 organization
I20230508000174 WA Practitioner - Family Practice 0244560704 Reassigns benefits to 1 organization
I20241227002806 AZ Practitioner - Family Practice 0244560704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, shared by 20 NPIs, 175 clinicians
Lane County OregonGroup PAC ID 7416853833, 31 clinicians

Practice addresses (Care Compare)

16255 NE 87TH St
Redmond, WA 98052-7391
Phone (425) 882-1697

2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550

Merit-based Incentive Payment System (MIPS)

Final score
54.53 of 100Reported as group
Quality
17.28
Promoting interoperability
100
Improvement activities
0
Cost
81.16

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61399969WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Feb 17, 2025 Accepting new patients
Lane County Oregon CurrentSince Jul 1, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 24, 2024 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc CurrentSince Feb 17, 2025 Accepting new patients
Healthpoint CurrentSince Jan 27, 2026 Accepting new patients
Healthpoint Family Medicine CurrentSince Jan 27, 2026 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 24, 2024 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1680 Chambers St
Ste 103
Eugene, OR 97402
Phone (541) 359-5935

151 W 7th Ave
Eugene, OR 97401
Phone (541) 682-4041

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

Interoperability endpoints

  • Direct secure messaging: krai263382@direct.valleywisehealth.org
  • Direct secure messaging: kusum.rai.p1@direct.lanecounty.nextgenshare.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1093277220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 S BINGHAM JUNCTION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474860",
            "telephone_number": "800-453-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 NE 87TH ST STE 150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527464",
            "telephone_number": "425-882-1697",
            "fax_number": "425-885-4179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7259 S Bingham Junction Blvd",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840474860",
            "country_code": "US",
            "telephone_number": "800-453-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850168034",
            "country_code": "US",
            "telephone_number": "602-470-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "KUSUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61399969",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD210992",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "71694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krai29201@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "16255 NE 87th St Ste 150",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980527464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.