Dr Sushma Rai, MD - Medicare Ophthalmology in Phoenix, AZ

Dr Sushma Rai, MD is a medicare enrolled "Ophthalmology" physician in Phoenix, Arizona. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and her current practice location is 4800 N 22nd St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 955-1000.

Dr Sushma Rai is licensed to practice in Arizona (license number 49918) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528072741.

Contact Information

Dr Sushma Rai, MD
4800 N 22nd St,
Phoenix, AZ 85016-4701
(602) 955-1000
(602) 508-4830

Map and Direction




Physician's Profile

Full NameDr Sushma Rai
GenderFemale
SpecialityOphthalmology
Experience39 Years
Location4800 N 22nd St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sushma Rai graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1528072741
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 02/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0345241469
  • Enrollment ID: I20240523003877

Medical Identifiers

Medical identifiers for Dr Sushma Rai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528072741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 49918 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoenix Indian Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm1759290901182

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 Sushma Rai allows following entities to bill medicare on her behalf.
Entity NameDhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083643738
PECOS PAC ID: 1759290901
Enrollment ID: O20031105000797

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 Sushma 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 Sushma Rai, MD
4800 N 22nd St,
Phoenix, AZ 85016-4701

Ph: (602) 955-1000
Dr Sushma Rai, MD
4800 N 22nd St,
Phoenix, AZ 85016-4701

Ph: (602) 955-1000

Reviews and Comments


Ophthalmology Doctors in Phoenix, AZ

Dr. Christopher M. Fecarotta, MD
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Phone: 602-933-3937    Fax: 602-933-2409
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Madhavi Kurli, MD
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Rima Bharat Patel, MD
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Phone: 602-242-4928    Fax: 602-249-4813
Daniel Patrick Dansdill, M.D.
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Medicare: Medicare Enrolled
Practice Location: 4800 N 22nd St Ste 120, Phoenix, AZ 85016
Phone: 602-955-1000    Fax: 602-508-4830
James L Plotnik, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1920 E Cambridge Ave Ste 203, Phoenix, AZ 85006
Phone: 602-933-3937    Fax: 602-933-2409

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.