Active NPI
Nirmal S Rai, MD
- Internal Medicine Physician
- Modesto, CA
National Provider Identifier
1730264854
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A49025
- Practice address
- 1930 E Hatch Rd
Ste a
Modesto, CA 95351-5141 - Phone
- (209) 531-0552
- NPI assigned
- Oct 26, 2006
- Last updated
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A49025 | CA | Primary |
Addresses
Primary practice location
1930 E Hatch Rd
Ste a
Modesto, CA 95351-5141
Mailing address
1930 E Hatch Rd
Modesto, CA 95351-5141
Phone (209) 531-0552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A490250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49025 | CA | MD | Pharmacist |
| A49025 | CA | MD | Internal Medicine Physician |
Organizations & group practices 1
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 Ceres Medical Associates
- Internal Medicine Physician
- Modesto, CA
- NPI 1841375870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1730264854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E HATCH RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953515141",
"telephone_number": "209-531-0552",
"fax_number": "209-537-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E HATCH RD",
"address_2": "STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953515141",
"telephone_number": "209-531-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAI",
"first_name": "NIRMAL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A49025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A490250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.