Individual provider Active NPI

Bimla Rai, MD

  • Child & Adolescent Psychiatry Physician
  • Towson, MD
National Provider Identifier
1689069627
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0086768 Issued in MD
Practice address
6501 N Charles St
Towson, MD 21204-6819
Phone
(646) 508-3788
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0086768 MD
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X D0086768 MD Primary

Addresses

Primary practice location

6501 N Charles St
Towson, MD 21204-6819

Mailing address

6501 N Charles St
Towson, MD 21204-6819
Phone (646) 508-3788

Other practice location 1

183 S Orange Ave
BHSB F 1542
Newark, NJ 07103-2757
Phone (646) 508-3788

Other names 1

  • N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200916000109 MD Practitioner - Psychiatry 6608127451 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc CurrentSince Oct 30, 2025 Accepting new patients
Sheppard Pratt Physicians, P.a. Psychiatry CurrentSince Sep 28, 2020 Accepting new patients
Mosaic Community Services, Inc. CurrentSince Oct 30, 2025 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 3

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1689069627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "646-508-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "646-508-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 S Orange Ave",
            "address_2": "BHSB F 1542",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "646-508-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "BIMLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0086768",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0086768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.