Raghavendra Rao S Sathyanarayana Rao, M.D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01080217A Issued in IN

Practice address

555 W Madison St Apt 4302
Chicago, IL 60661-2532

Phone

(312) 216-7157

NPI assigned

Jul 24, 2013

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN, NY, CT4 enrollments

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 4

Specialty

General Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pelham Pkwy Medical of New York LLCGroup PAC ID 4082976386, 23 clinicians

Fordham Medical of New York LLCGroup PAC ID 4284972621, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 51)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGJGDD/Endpoint/BGJGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pelham Pkwy Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1285156067
  Medicare reassignment Care Compare group NPD
• Fordham Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1205332905
  Medicare reassignment Care Compare group
• Renew Wound Care of Illinois PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1578146882
  Medicare reassignment NPD
• 871 Moses LLC

  dba Moses Medical

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1376362178
  Medicare reassignment NPD
• Foxhurst Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1730547522
  Medicare reassignment NPD
• Renew Wound Care of Connecticut PLLC

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1992492854
  Medicare reassignment NPD
• St. Nicholas Medical of New York, LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1316471352
  Medicare reassignment NPD
• USA Medical of Manhattan LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1114277175
  Medicare reassignment NPD
• Bushwick Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1720565922
  Medicare reassignment
• Renew Medical of New York, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1356979447
  Medicare reassignment
• New York City Healthcare Medical Services LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1487489688
  NPD
• Bushwick Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1003393299
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1053753608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W MADISON ST APT 4302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612532",
            "telephone_number": "312-216-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHYANARAYANA RAO",
        "first_name": "RAGHAVENDRA RAO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01080217A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jaye Saterfield
• Jessica Sathchakham, OD
• Neha Milind Sathe, PHARMD
• Malavika Satheesh
• Sruthi Sathyakumar, MD
• Anmol Satiani, PH.D.
• Ira A. Satinover, D.D.S.
• Satisfy Nourish Love, LLC
• Satish Reddy DDS PC
• Satnam Dental Care SC

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.