Prithviraj Rai, M.D.
NPI 1891863130 · Cardiovascular Disease Physician · Fredericksburg, VA
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prithviraj Rai, M.D. is a Cardiovascular Disease Physician provider in Fredericksburg, VA (NPI 1891863130).
Provider details
- NPI number
- 1891863130
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D0059730 (MD)
Specialties & taxonomies
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
3,563 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 862 | $123 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 652 | $14 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 195 | $188 |
| Technetium Tc-99m Tetrofosmin, Diagnostic, Per Study DoseA9502 | 170 | $114 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 169 | $8 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 131 | 44 |
| Metoprolol Succinate | 90 | 33 |
| Apixabanbrand: Eliquis | 81 | 28 |
| Carvedilol | 74 | 27 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 74 | 32 |
| Amlodipine Besylate | 69 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,226 across 43 records (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 (1)
- 2280 Opitz Blvd Ste 310Woodbridge, VA 22191-3362Phone: (855) 739-9953
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2019-07-25
Frequently asked questions
- What is Prithviraj Rai's NPI number?
- Prithviraj Rai's National Provider Identifier (NPI) is 1891863130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prithviraj Rai's specialty?
- Prithviraj Rai is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Prithviraj Rai located?
- Prithviraj Rai's practice location on file with NPPES is 1300 Hospital Dr Ste 302, Fredericksburg, VA 22401-8451.
- What is Prithviraj Rai's phone number?
- The practice phone number listed in the NPPES registry for Prithviraj Rai is (855) 739-9953.
- Does Prithviraj Rai accept Medicare?
- Prithviraj Rai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prithviraj Rai's NPI active?
- Yes — Prithviraj Rai's NPI (1891863130) is active in the NPPES registry as of the last update on 2019-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.