Sushma Rai, M.D.
NPI 1528072741ActiveIndividual· Ophthalmology· Phoenix, AZ
Ophthalmology (M.D.) with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, practicing in Phoenix, Arizona. In 2024 Medicare paid $20,906 for 91 patients, and Part D covered 408 of their prescriptions, 68% of them generic. Lists Phoenix Indian Medical Center as a hospital affiliation.
Overview
| NPI | 1528072741 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Jun 25, 2026 |
| Certified by provider | Jun 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 49918 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (AZ); Practitioner - Ophthalmology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 356 across 20 procedure codes |
| Paid by Medicare | $20,906 |
Part D prescriptions in 2024
| Prescriptions (claims) | 408 · 741 30-day fills |
|---|---|
| Patients | 115 |
| Total drug cost | $23,846 |
| Generic share | 68% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Ophthalmology |
Medical group
- Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth AdmPhoenix, AZ · 227 clinicians
Hospital affiliation
- Phoenix Indian Medical CenterPhoenix, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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