Individual provider Active NPI

Jodie Rai, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1952393191
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
101761 Issued in MO
Practice address
3009 N Ballas Rd
Suite 352-C
Saint Louis, MO 63131-2322
Phone
(314) 395-8192
Fax
(314) 395-8196
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 101761 MO
Obstetrics & Gynecology Physician 207V00000X 101761 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd
Suite 352-C
Saint Louis, MO 63131-2322

Mailing address

3009 N Ballas Rd
Suite 352-C
Saint Louis, MO 63131-2322
Phone (314) 996-4010

Other identifiers 4

IdentifierTypeStateIssuer
111599OtherMOBLUE CROSS BLUE SHIELD
177835OtherMOHEALTHLINK
516V38088OtherMOGROUP HEALTH PLAN
0701032OtherMOUNITED HEALTH CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20100831000073 MO Practitioner - Obstetrics/Gynecology 7113041955 Reassigns benefits to 1 organization
I20220320000002 IL Practitioner - Obstetrics/Gynecology 7113041955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carestl HealthGroup PAC ID 1557269289, shared by 7 NPIs, 14 clinicians

Practice addresses (Care Compare)

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820

7047 Emma Ave
Jennings, MO 63136-1049
Phone (314) 653-8070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101761MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women'S Healthcare LTD CurrentSince Aug 2, 2024 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jul 29, 2022 Accepting new patients
Carestl Health CurrentSince Apr 1, 2023 Accepting new patients
Carestl Health Current Accepting new patients
Heartland Women'S Healthcare LTD Obstetrics & Gynecology CurrentSince Aug 2, 2024 Accepting new patients
Carestl Health CurrentSince Apr 1, 2023 Accepting new patients
Overland Medical Center Obstetrics & Gynecology Past Accepting new patients

Locations

900 E Walnut St
Ste 10
Carbondale, IL 62901

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

3230 Veterans Memorial Dr
Mount Vernon, IL 62864

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

3312 Ashby Rd
Saint Ann, MO 63074
Phone (314) 493-6200

7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070

1218 Shepley Dr
Saint Louis, MO 63137
Phone (314) 367-8520

10135 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 521-1444

2901 N Grand Blvd
Saint Louis, MO 63107

11300 Dunn Rd
Saint Louis, MO 63138
Phone (505) 999-9290

5541 Riverview Blvd
Saint Louis, MO 63120
Phone (314) 389-4566

4500 Pope Ave
Saint Louis, MO 63115
Phone (314) 385-3990

5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221

Interoperability endpoints

  • Direct secure messaging: jrai154251@direct.carenet.org

Organizations & group practices 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1952393191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 352-C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-996-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 352-C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-395-8192",
            "fax_number": "314-395-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "JODIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "101761",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "101761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "111599",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "177835",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "516V38088",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0701032",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3009 N Ballas Rd",
            "address_2": "Suite 352-C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.