Individual provider Active NPI

Anuradha Rai, M.D.

  • Pediatrics Physician
  • Center Valley, PA
National Provider Identifier
1093712523
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD475626 Issued in PA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01699265MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110223000504 TX Practitioner - Pediatric Medicine 8123180486 Reassigns benefits to 1 organization
I20211021002139 PA Practitioner - Pediatric Medicine 8123180486 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6439TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Pediatrics CurrentSince Mar 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 18, 2021 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 18, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.