Individual provider Active NPI

Sridhar A Rao, MD

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1023110780
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME139249 Issued in FL
Practice address
7408 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone
(407) 381-7387
Fax
(407) 636-7824
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301065434 MI
Family Medicine Physician 207Q00000X ME139249 FL Primary

Addresses

Primary practice location

7408 Red Bug Lake Rd
Oviedo, FL 32765-7154

Mailing address

7408 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 381-7387

Other practice location 1

9030 State Rd
Millington, MI 48746-8902
Phone (989) 871-4501

Other identifiers 1

IdentifierTypeStateIssuer
3457161MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918001722 FL Practitioner - Family Practice 0244316594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908

7408 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 381-7387

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Longwood, FL, CCN 108014
  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Centerwell Home Health Home health agency, Orlando, FL, CCN 107234
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME139249FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

7408 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

Interoperability endpoints

  • Direct secure messaging: sridharrao@pmi.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1023110780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657154",
            "telephone_number": "407-381-7387",
            "fax_number": "407-636-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657154",
            "telephone_number": "407-381-7387",
            "fax_number": "407-636-7824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 State Rd",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "MI",
            "postal_code": "487468902",
            "country_code": "US",
            "telephone_number": "989-871-4501",
            "fax_number": "989-871-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "SRIDHAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065434",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME139249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3457161",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.