Physician Profile
Rachana Sedhai, MD is a healthcare provider in Pawtucket, RI specializing in internal medicine. According to Medicare claims data, Rachana cared for 496 Medicare patients across 1,413 services. The services billed most often include residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes, complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month, and care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional. This provider record is associated with NPI 1609217884.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
111 BREWSTER ST
Pawtucket, RI 02860
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Cardiometabolic
Digestive and liver
Endocrine, blood, and bone
Infectious disease
Kidney and urinary
Respiratory
Blood & Circulation
Blood disorders
Brain & Nerves
Brain and nerves
Cardiac and vascular
Digestive
Heart & Circulation
Infections
Kidney & Bladder
Lungs & Breathing
Mental Health
Neurologic and behavioral
Pain
Rheumatologic and pain
Most searched procedures
Preventive and evaluation
Screening and diagnostic testing
Bones & Joints
Brain and nerves
Cancer screening
Digestive
Exams & Consultations
Heart & Circulation
Heart health
Imaging referral
Immunizations
Lab tests
Lungs & Breathing
Metabolic & Weight
Minor procedures
Office procedures
Office Procedures
Pain management
Preventive & Routine Care
Screenings & Diagnostics
Sexual health
1,413 services · 496 patients · 12 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99350 |
423 | More than most peers in Internal Medicine |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99487 |
394 | More often than most peers in Internal Medicine |
| Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | Office visit | 99484 |
291 | More often than most peers in Internal Medicine |
| Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | Billing code | G0506 |
48 | More often than most peers in Internal Medicine |
| Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | Office visit | 99345 |
47 | More often than most peers in Internal Medicine |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | Office visit | 99483 |
43 | As often as other peers in Internal Medicine |
| Advance care planning, first 30 minutes | Office visit | 99497 |
42 | As often as other peers in Internal Medicine |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
37 | Less often than most peers in Internal Medicine |
| Transitional care management services for problem of high complexity | Office visit | 99496 |
29 | More often than most peers in Internal Medicine |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
23 | Less often than most peers in Internal Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Sedhai is an internist in Pawtucket, RI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Dr. Sedhai is listed at 111 Brewster St, Pawtucket, RI 02860. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (401) 729-2258. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Sedhai's National Provider Identifier is 1609217884. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Sedhai attended Other, graduating in 2012. This comes from the CMS National Downloadable File.
CMS public data
Dr. Sedhai has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Sedhai the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Sedhai. If this is you, claiming it is free.
Guide.md
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