Individual ProviderKristopher RaiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address500 Kirts Blvd Ste 200, Troy, MI 48084(248) 824-6060PECOS EnrollmentBased on the most recent information from CMS, provider Kristopher Rai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1932588449Provider TypeIndividualFull NameRai, KristopherGenderMaleSole ProprietorNoEnumeration Date5/29/2015Last Updated4/3/2019Contact InformationPractice LocationPractice Address500 Kirts Blvd Ste 200, Troy, MI 48084Phone(248) 824-6060Fax(248) 686-0772Mailing LocationMailing Address500 Kirts Blvd, Troy, MI 48084-4134Phone(248) 824-6060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense4301107785Michigan