Sushma Rai, M.D.
Ophthalmology Physician · Phoenix, AZ
Sushma Rai, M.D. is an ophthalmology physician with a practice address in Phoenix, Arizona, and NPI 1528072741, issued on Jul 27, 2006. Check the license (Arizona 49918, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Sushma Rai
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- 49918 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 4212 N 16TH St, Phoenix, AZ 85016
- Phone
- (602) 263-1200
- Enumerated
- Jul 27, 2006
- Record last updated
- Jun 25, 2026
- Fax
- (602) 263-1619
- Medicare enrollment
- Enrolled (PECOS I20240523003877); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 353 in Arizona → Look up another NPI →
Also registered at 4212 N 16TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Andrea Aarseth, RNCritical Care Medicine Registered Nurse1235297292
- Deirdre Abellada, RN, PHNRegistered Nurse1710259395
- Joby Abraham, RNRegistered Nurse1376814046
- Frederick Abramek, MS, PHARMACISTPharmacist1528278736
- Karen AcostaRegistered Nurse1659748671
- Danton AdairRegistered Nurse1114387917
Verify Sushma Rai in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 49918Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
73% fewer Medicare Part D claims than the average ophthalmology physician in 2024
408 Medicare Part D claims for 115 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.
Most prescribed
- Latanoprost124 claims
- Dorzolamide-Timolol69 claims
- Brimonidine Tartrate49 claims
- Moxifloxacin29 claims
- Travoprost28 claims
- Ketorolac Tromethamine27 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 93.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Dhew Ind Hlth SV Hlth Svs And Mntl Hlth AdmPhoenix, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sushma Rai among 353 ophthalmology physician records in Arizona
Sushma Rai, M.D. is one of 353 ophthalmology physician records with a practice address in Arizona. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.
- NPI issued2006 · 18% of these records are older, 41% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1985 · median 2000 among the 220 with a school on file
- Record last updated2026 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Arizona
There are 353 ophthalmology physician records in Arizona.
All 353 in Arizona → Every provider in Phoenix → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Aaron Amacher, M.D.Phoenix, AZ 850161700856283
- William Bradley, M.D.Phoenix, AZ 850161366545667
- Melvin Clark, M.D.Phoenix, AZ 850161093704751
- Jerome Epstein, MDPhoenix, AZ 850161851403612
- Mark Horton, M.D.Phoenix, AZ 850161376556985
- Andrew Mohammed, MDPhoenix, AZ 850161861442717
- Scott Perkins, MDPhoenix, AZ 850161376509000
- Anita Prasad, MDPhoenix, AZ 850161114967981
Common questions
What is Sushma Rai, M.D.'s NPI number?
Sushma Rai, M.D.'s National Provider Identifier (NPI) is 1528072741, issued on Jul 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sushma Rai, M.D. located?
The NPPES record lists a practice address at 4212 N 16TH St, Phoenix, AZ, 85016. Phone: (602) 263-1200. Providers update this record themselves, so call before visiting.
How can I verify Sushma Rai, M.D.'s license?
NPPES lists Arizona license number 49918, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sushma Rai, M.D. prescribe under Medicare Part D?
In 2024, Sushma Rai, M.D. had 408 Medicare Part D claims for 115 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Sushma Rai, M.D.'s MIPS final score?
The 2023 MIPS final score is 93.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.