| Anupa Rai, MD | |
|
1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 | |
| (708) 344-2161 | |
| Not Available |
| Full Name | Anupa Rai |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 1111 Superior St, Melrose Park, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023388642 | NPI | - | NPPES |
| 036132491 | Medicaid | IL | |
| F400111213 | Other | IL | MEDICARE PTAN |
| 125057304 | Other | IL | TEMPORARY MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125057304 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 125057304 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Hospitalist Services Pc | 3476855420 | 306 |
| St Francis Physician Practices Llc | 8729381033 | 193 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160107001140 |
| Entity Name | St Francis Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
| Entity Name | St Francis Affiliated Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912371220 PECOS PAC ID: 2567765662 Enrollment ID: O20160125000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Anupa Rai, MD 1633 S Michigan Ave, Apartment 208, Villa Park, IL 60181-4145 Ph: (630) 865-9940 | Anupa Rai, MD 1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 Ph: (708) 344-2161 |