NPIMap

Organization Active NPI

G.S,Rao,M.D,P.C

  • Clinic/Center
  • Huntsville, AL
National Provider Identifier
1114263746
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8243 Issued in AL
Legal business name
G.S,RAO,M.D,P.C
Practice address
1425 Weatherly Rd SE
Huntsville, AL 35803-1178
Phone
(256) 881-1111
NPI assigned
Jan 1, 2013
Reactivated
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Gorantla S Rao, M.D
Title
Owner
Phone
(256) 881-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8243 AL Primary

Addresses

Primary practice location

1425 Weatherly Rd SE
Huntsville, AL 35803-1178

Mailing address

1425 Weatherly Rd SE
Huntsville, AL 35803-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000312 AL Part B Supplier - Clinic/Group Practice 1355588500 Receives reassigned benefits from 9 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1114263746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 WEATHERLY RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WEATHERLY RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031178",
            "telephone_number": "256-881-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.S,RAO,M.D,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2019-11-19",
        "deactivation_date": "2019-11-14",
        "reactivation_date": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "GORANTLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-881-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.