Active NPI
Vege R Rao, M.D.
- Pediatrics Physician
- Mullins, SC
National Provider Identifier
1033137161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9122
- Practice address
- 2845 E Highway 76
Suite 4
Mullins, SC 29574-6037 - Phone
- (843) 431-2720
- Fax
- (843) 431-2726
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9122 | SC | Primary |
Addresses
Primary practice location
2845 E Highway 76
Suite 4
Mullins, SC 29574-6037
Mailing address
2845 E Highway 76
Suite 4
Mullins, SC 29574-6037
Phone (843) 431-2720
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091224 | Medicaid | SC | |
| 9493 | Other | SC | MEDICARE GROUP |
| GP5462 | Medicaid | SC | |
| RHC538 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9122 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1033137161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 E HIGHWAY 76",
"address_2": "SUITE 4",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746037",
"telephone_number": "843-431-2720",
"fax_number": "843-431-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 E HIGHWAY 76",
"address_2": "SUITE 4",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746037",
"telephone_number": "843-431-2720",
"fax_number": "843-431-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "VEGE",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "9122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091224",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "9493",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5462",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC538",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mullins, SC
- Harvey Willis Putnam Jr., PA
- QHG of South Carolina Inc (Mullins Nursing Center)
- QHG of South Carolina Inc (Carolinas Hospital System-Marion)
- QHG of South Carolina Inc (Carolinas Hospital System-Marion)
- Radiology Associates of Marion County LLC
- Michael Edward Raymo, NP
- Stephen P Regec, MD
- Jureall Richburg
- Kristan Roberts
- Mark D Roberts, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.