Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shivalli Dharmendra Rai, PA

Individual provider Surgical Physician Assistant · NPI 1861365876

Shivalli Dharmendra Rai, PA is a Physician Assistant in Evansville, Indiana. Qualified in 2025, 1 year ago. Practices with St Marys Medical Group LLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Phone: (812) 473-2642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 Saint Marys Dr, Evansville, IN 47714-0520 — (812) 473-2642

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10005089A (IN)

Record details

NPI number1861365876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Marys Medical Group Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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