Individual provider Active NPI

Abigail Justine Rao, M.D.

  • Neurological Surgery Physician
  • Louisville, KY
National Provider Identifier
1053636241
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
51563 Issued in KY
Practice address
4950 Norton Healthcare Blvd Ste 205
Louisville, KY 40241-2847
Phone
(502) 394-6390
Fax
(502) 394-6388
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 51563 KY Primary
Neurological Surgery Physician 207T00000X A146390 CA

Addresses

Primary practice location

4950 Norton Healthcare Blvd Ste 205
Louisville, KY 40241-2847

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

10833 Le Conte Ave
Los Angeles, CA 90095-3011
Phone (310) 825-0651

Other practice location 2

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 825-0651

Other practice location 3

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 825-0651

Other identifiers 2

IdentifierTypeStateIssuer
7100569370MedicaidKY
K270630OtherKYMEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address arao148601@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180910001622 KY Practitioner - Neurosurgery 7012162753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Warren Alpert Medical School of Brown University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2860
Phone (502) 446-6640

4950 Norton Healthcare Blvd
Louisville, KY 40241-2847

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146390CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

4950 Norton Healthcare Blvd
Ste 205
Louisville, KY 40241
Phone (502) 394-6390

3 Audubon Plaza Dr
Ste LL2
Louisville, KY 40217
Phone (502) 636-8005

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4915 Norton Healthcare Blvd
Ste 301
Louisville, KY 40241
Phone (502) 394-6390

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1053636241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NORTON HEALTHCARE BLVD STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412847",
            "telephone_number": "502-394-6390",
            "fax_number": "502-394-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953011",
            "country_code": "US",
            "telephone_number": "310-825-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90095",
            "country_code": "US",
            "telephone_number": "310-825-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90095",
            "country_code": "US",
            "telephone_number": "310-825-0651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "ABIGAIL",
        "middle_name": "JUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "51563",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A146390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100569370",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K270630",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arao148601@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4950 Norton Healthcare Blvd Ste 205",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4950 Norton Healthcare Blvd Ste 205",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.