Dr Pradeep Rai, MD - Medicare General Practice in Denver, CO

Dr Pradeep Rai, MD is a medicare enrolled "Surgery" physician in Denver, Colorado. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Pro Health One Inc, Magnolia Medical Company, Pro Health One Inc, Pro Health One Inc and his current practice location is 8181 E Tufts Ave Ste 560, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (866) 990-8622.

Dr Pradeep Rai is licensed to practice in Georgia (license number 003499) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184863631.

Contact Information

Dr Pradeep Rai, MD
8181 E Tufts Ave Ste 560,
Denver, CO 80237-2559
(866) 990-8622
(888) 972-8592

Map and Direction




Physician's Profile

Full NameDr Pradeep Rai
GenderMale
SpecialityGeneral Practice
Experience24 Years
Location8181 E Tufts Ave Ste 560, Denver, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pradeep Rai graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1184863631
  • Provider Enumeration Date: 02/06/2009
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850510124
  • Enrollment ID: I20140918001274

Medical Identifiers

Medical identifiers for Dr Pradeep Rai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184863631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0401XInternal Medicine - Addiction Medicine DR.0054622 (Colorado)Secondary
208600000XSurgery DR.0054622 (Colorado)Secondary
208600000XSurgery 003499 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pro Health One Inc246677808919
Magnolia Medical Company07495482536
Pro Health One Inc246677808919
Pro Health One Inc246677808919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pradeep Rai allows following entities to bill medicare on his behalf.
Entity NamePro Health One Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053714584
PECOS PAC ID: 2466778089
Enrollment ID: O20150225002332

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pradeep Rai is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pradeep Rai, MD
1850 Race St,
Denver, CO 80206-1116

Ph: (720) 725-1564
Dr Pradeep Rai, MD
8181 E Tufts Ave Ste 560,
Denver, CO 80237-2559

Ph: (866) 990-8622

Reviews and Comments


Surgery Doctors in Denver, CO

Dr. Cassandra Alys Ligh, MD
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Phone: 303-338-4545    
Deborah K Davis-merritt, MD
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Walter B Vernon, MD
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Dr. Brad C Mcdowell, M.D.
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Rebecca G Jiron,
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Jeffrey L Johnson, MD
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Phone: 303-436-6559    
Jeffery R Clark, MD
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Practice Location: 2005 Franklin St, Midtown 2 #300, Denver, CO 80205
Phone: 303-318-2250    Fax: 303-318-2252

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.