DR. PRADEEP RAI (MD) – Surgery Physician, NPI 1184863631
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 GENERAL SURGERY in CO
Provider Addresses for DR. PRADEEP RAI (MD)
1850 Race St
Denver, CO 80206
Phone: (720) 725-1564
Type: Location
8289 E Lowry Blvd
Denver, CO 802307256
Phone: (303) 321-2828
Type: Location
8181 E TUFTS AVE STE 560
DENVER, CO 802372559
Phone: (866) 990-8622
Fax: (888) 972-8592
Type: Location
5175 E Main St
Columbus, OH 432132425
Phone: (614) 575-1200
Type: Location
1850, Race Street, Cole Neighborhood Historic District, Denver, Denver County, Colorado, 80206, United States
DENVER, CO 802061116
Phone: (720) 725-1564
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: USWM, LLC ($42).
Total Amount
$105
General + Research + Ownership
Payments
4
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| USWM, LLC | $42 |
| PIRAMAL CRITICAL CARE | $38 |
| Alkermes, Inc. | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (981 days ago).
Enrollment records
3
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140918001274 | I | General Practice | OH | 2023-09-30 |
| I20150504000473 | I | General Practice | CO | TBD |
| I20231025001079 | I | General Surgery | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 333 | 149 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 179 | 84 | $0 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 167 | 30 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 95 | 69 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 60 | 60 | $0 |
Insurance plans in this area (ZIP 80206)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Nurse Practitioner | IL | |
| General Surgery, General Practice, General Practice | FL | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| - | OR | |
| P O D I A T R Y | CO | |
| Physician Assistant | WA | |
| General Surgery, General Practice | WA | |
| General Practice | LA ALTAGRARIA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.