Individual provider Active NPI

Praveen Kalipatnam Rao, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1043448285
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
R2451 Issued in TX
Practice address
621 N Hall St Ste 400
Dallas, TX 75226-1316
Phone
(469) 800-7400
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2009014213 MO
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X R2451 TX Primary

Addresses

Primary practice location

621 N Hall St Ste 400
Dallas, TX 75226-1316

Mailing address

621 N Hall St Ste 400
Dallas, TX 75226-1316

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prao289032@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170809001624 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1355597311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Texas Medical School at San Antonio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

4400 Ih 30 W
100 Pca Greenville Family Practice
Greenville, TX 75402-4620
Phone (469) 800-3500

611 N Hall St
400 Baylor Scott and White Cardiology Consult
Dallas, TX 75226-1337
Phone (469) 800-7400

621 N Hall St
Suite 400 Cardiology Consultants of Texas
Dallas, TX 75226-1316
Phone (214) 824-8721

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

9101 N Central Expressway
420 Baylor Pediatric Center
Dallas, TX 75231-5945
Phone (214) 823-2525

9101 N Central Expy
Dallas, TX 75231-5945

Hospital & facility affiliations

  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009014213MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Multi-Specialty CurrentSince Sep 4, 2017 Accepting new patients
Healthtexas Provider Network Multi-Specialty CurrentSince Sep 4, 2017 Accepting new patients
Healthtexas Provider Network Multi-Specialty Current Accepting new patients
Healthtexas Provider Network Multi-Specialty Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

621 N Hall St
Ste 400
Dallas, TX 75226
Phone (214) 824-8721

621 N Hall St
Ste 500
Dallas, TX 75226
Phone (214) 841-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 4

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 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1043448285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N HALL ST STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N HALL ST STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261316",
            "telephone_number": "469-800-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "PRAVEEN",
        "middle_name": "KALIPATNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009014213",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "R2451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prao289032@direct.sw.org",
            "affiliation": "N",
            "address_1": "621 N Hall St Ste 400",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752261316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.