Active NPI
Rao S. Bhatraju, MD, PSC
- Specialist
- Pikeville, KY
National Provider Identifier
1053582726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 27559
- Legal business name
- RAO S. BHATRAJU, MD, PSC
- Practice address
- 180 Town Mountain Rd
Suite 111
Pikeville, KY 41501-1698 - Phone
- (606) 432-0168
- Fax
- (606) 432-0639
- NPI assigned
- Mar 20, 2008
- Last updated
- Mar 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rao S Bhatraju, M.D.
- Title
- Owner
- Phone
- (606) 432-0168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 27559 | KY | Primary |
Addresses
Primary practice location
180 Town Mountain Rd
Suite 111
Pikeville, KY 41501-1698
Mailing address
180 Town Mountain Rd
Suite 111
Pikeville, KY 41501-1698
Phone (606) 432-0168
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64275597 | Medicaid | KY | |
| K010543 | Other | KY | CHAMPUS |
| 0125158000 | Other | WV | WV MEDICAID |
| 000000050525 | Other | KY | BC/BS OF KY |
| 098169 | Other | VA | BS/BS OF VA |
| 1409437 | Other | KY | UMWA FUNDS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Pikeville, KY
- NPI 1386640670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1053582726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 TOWN MOUNTAIN RD",
"address_2": "SUITE 111",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011698",
"telephone_number": "606-432-0168",
"fax_number": "606-432-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 TOWN MOUNTAIN RD",
"address_2": "SUITE 111",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011698",
"telephone_number": "606-432-0168",
"fax_number": "606-432-0639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAO S. BHATRAJU, MD, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "BHATRAJU",
"authorized_official_first_name": "RAO",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-432-0168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "27559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64275597",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "K010543",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV MEDICAID",
"identifier": "0125158000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF KY",
"identifier": "000000050525",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS/BS OF VA",
"identifier": "098169",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA FUNDS",
"identifier": "1409437",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.