Individual provider Active NPI

Baldev S Rai, M.D.

  • Neurology Physician
  • Riverside, CA
National Provider Identifier
1598850083
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A41709 Issued in CA
Practice address
4234 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-8510
Phone
(951) 785-7190
Fax
(951) 688-7246
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A41709 CA
Neurology Physician 2084N0400X A41709 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-8510

Mailing address

4234 Riverwalk Pkwy 280
Riverside, CA 92505-3370
Phone (951) 784-7190

Other identifiers 1

IdentifierTypeStateIssuer
A41709OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20100217000070 CA Practitioner - NeurologyPractitioner - Other (Physician) 9739279308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baldev S Rai MD IncGroup PAC ID 2668562232, 7 clinicians

Practice addresses (Care Compare)

1839 W Redlands Blvd
Redlands, CA 92373-3118
Phone (951) 785-7190

4234 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-3370
Phone (951) 785-7190

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41709CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redlands Community Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: baldev.raimd.p1@direct.pnsm.nextgenshare.com

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1598850083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053370",
            "telephone_number": "951-784-7190",
            "fax_number": "951-784-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-785-7190",
            "fax_number": "951-688-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "BALDEV",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A41709",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A41709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A41709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.