Organization Active NPI

Rao S. Bhatraju, MD, PSC

  • Specialist
  • Pikeville, KY
National Provider Identifier
1053582726
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27559 Issued in KY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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.NPI 1386640670
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64275597MedicaidKY
K010543OtherKYCHAMPUS
0125158000OtherWVWV MEDICAID
000000050525OtherKYBC/BS OF KY
098169OtherVABS/BS OF VA
1409437OtherKYUMWA FUNDS

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.