Active NPI
Anuradha Rai, M.D.
- Pediatrics Physician
- Center Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD475626
- Practice address
- 3800 Sierra Cir Ste 100
Center Valley, PA 18034-8476 - Phone
- (484) 664-2090
- Fax
- (484) 664-2089
- NPI assigned
- Jun 30, 2005
- Last updated
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N6439 | TX | |
| Pediatrics Physician | 208000000X | MD475626 | PA | Primary |
Addresses
Primary practice location
3800 Sierra Cir Ste 100
Center Valley, PA 18034-8476
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other practice location 1
2401 S 31st St
Temple, TX 76508-2248
Phone (254) 724-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01699265 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N6439 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Pediatrics | Current | Accepting new patients |
Locations
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
3800 Sierra Cir
Ste 100
Center Valley, PA 18034
Phone (484) 664-2090
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
Interoperability endpoints
- arai11004@direct.uth.org
Organizations & group practices 6
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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
dba LVPG Plastic Surgery Associates of the Lehigh Valley
- Plastic Surgery Physician
- Allentown, PA
- NPI 1376615468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1093712523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SIERRA CIR STE 100",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180348476",
"telephone_number": "484-664-2090",
"fax_number": "484-664-2089"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765082248",
"country_code": "US",
"telephone_number": "254-724-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAI",
"first_name": "ANURADHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N6439",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD475626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01699265",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Center Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.