Individual provider Active NPI

Shikha Rao, MD

  • MOHS-Micrographic Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1093201162
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25MA11550900 Issued in NJ
Practice address
20 Prospect Ave Ste 702
Hackensack, NJ 07601-1974
Phone
(212) 283-3000
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA11550900 NJ
Student in an Organized Health Care Education/Training Program 390200000X 25MA11550900 NJ
MOHS-Micrographic Surgery Physician 207ND0101X 25MA11550900 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 702
Hackensack, NJ 07601-1974

Mailing address

2701 Queens PLZ N FL 10
Long Island City, NY 11101-4022
Phone (212) 283-3000

Other practice location 1

205 N. East Avenue
2nd fl CAB
Jackson, MI 49201
Phone (517) 205-3964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220817000624 NJ Practitioner - Dermatology 5092061689 Reassigns benefits to 1 organization
I20240201003756 CA Practitioner - Dermatology 5092061689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision106
Removal of skin lesions13
Removal of skin cancer842
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11550900NJMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Dermatology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 22, 2024 Accepting new patients
Schweiger Dermatology, PC Dermatology CurrentSince Jul 15, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 22, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2951 Benefit Way
Sacramento, CA 95834
Phone (916) 285-8100

20 Prospect Ave
Ste 702
Hackensack, NJ 07601
Phone (201) 441-9890

105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 299-4521

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

Interoperability endpoints

  • Direct secure messaging: srao677429@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1093201162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 QUEENS PLZ N FL 10",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014022",
            "telephone_number": "212-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 702",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011974",
            "telephone_number": "212-283-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N. East Avenue",
            "address_2": "2nd fl CAB",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "49201",
            "country_code": "US",
            "telephone_number": "517-205-3964",
            "fax_number": "517-205-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "SHIKHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA11550900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "25MA11550900",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA11550900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.