NPIMap

Individual provider Active NPI

Maitreyee Rai

  • Internal Medicine Physician
  • Brookhaven, PA
National Provider Identifier
1851886063
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD486154 Issued in PA
Practice address
1100 Albert Rd Apt A19
Brookhaven, PA 19015-2012
Phone
(516) 978-6918
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD486154 PA Primary

Addresses

Primary practice location

1100 Albert Rd Apt A19
Brookhaven, PA 19015-2012

Mailing address

1100 Albert Rd Apt A19
Brookhaven, PA 19015-2012

Other practice location 1

420 S 5th Ave Bldg N
West Reading, PA 19611-2143
Phone (484) 628-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801001671 PA Practitioner - Internal Medicine 9739626292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

420 S 5TH Ave
BLDG N
West Reading, PA 19611-2143
Phone (484) 628-8067

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Sep 1, 2024 Accepting new patients
Reading Hospital CurrentSince Sep 1, 2024 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

420 S 5th Ave
Bldg N
West Reading, PA 19611
Phone (484) 628-0900

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1851886063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ALBERT RD APT A19",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALBERT RD APT A19",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152012",
            "telephone_number": "516-978-6918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S 5th Ave Bldg N",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196112143",
            "country_code": "US",
            "telephone_number": "484-628-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "MAITREYEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD486154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

Verify at the official NPI Registry.