Pradeep Rai, MD
NPI 1184863631 · Surgery Physician · Denver, CO
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pradeep Rai, MD is a Surgery Physician provider in Denver, CO (NPI 1184863631).
Provider details
- NPI number
- 1184863631
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DR.0054622 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,139 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 244 | $107 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 152 | $45 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 82 | $107 |
| Removal of Muscle And/Or Tissue, Each Additional 20.0 Sq Cm Or Less11046 | 74 | $53 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 62 | $76 |
| Removal of Fingernails Or Toenails, 1-5 Nails11720 | 60 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Apixabanbrand: Eliquis | 85 |
| Furosemide | 32 |
| Metoprolol Succinate | 30 |
| Potassium Chloride | 26 |
| Mirabegronbrand: Myrbetriq | 23 |
| Diltiazem Hclbrand: Diltiazem 24hr Er | 22 |
| Dapagliflozin Propanediolbrand: Farxiga | 22 |
| Lisinopril | 19 |
| Tamsulosin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$38 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 1850 Race StDenver, CO 80206Phone: (720) 725-1564
- 8289 E Lowry BlvdDenver, CO 80230-7256Phone: (303) 321-2828
- 1850 Race StDenver, CO 80206Phone: (720) 725-1564
- 5175 E Main StColumbus, OH 43213-2425Phone: (614) 575-1200
Registry dates
- Enumerated
- 2009-02-06
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Pradeep Rai's NPI number?
- Pradeep Rai's National Provider Identifier (NPI) is 1184863631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pradeep Rai's specialty?
- Pradeep Rai is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pradeep Rai located?
- Pradeep Rai's practice location on file with NPPES is 8181 E Tufts Ave Ste 560, Denver, CO 80237-2559.
- What is Pradeep Rai's phone number?
- The practice phone number listed in the NPPES registry for Pradeep Rai is (866) 990-8622.
- Does Pradeep Rai accept Medicare?
- Pradeep Rai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pradeep Rai's NPI active?
- Yes — Pradeep Rai's NPI (1184863631) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.