Surya Prakash Rao, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME96830 Issued in FL

Practice address

1404 S Ridgewood Ave
Edgewater, FL 32132-2720

Phone

(386) 258-8722

Fax

(386) 265-5928

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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.

• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529

  FL

  Medicare reassignment Care Compare group NPD
• Lewis & Klancke Cardiology PA

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1669589263

  FL

  Medicare reassignment Care Compare group
• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530

  FL

  Medicare reassignment
• Southeast Volusia Healthcare Corporation

  • Internal Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1710346093
  NPD
• Florida Cardiovascular Association PA

  • Cardiovascular Disease Physician
  • Titusville, FL
  • NPI 1245271006

  Cardiovascular Disease

  NPD (past)
• Florida Cardiovascular Diagnostic Services LLC

  • Cardiovascular Disease Physician
  • Titusville, FL
  • NPI 1134301104

  Cardiovascular Disease

  NPD (past)
• Lewis & Klancke Cardiology, P.a.

  • Cardiovascular Disease Physician
  • Port Orange, FL
  • NPI 1205557691

  Cardiovascular Disease

  NPD (past)
• North Brevard Medical Support, Inc

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  NPD (past)
• Volusia ASC BZ, LLC

  • Ambulatory Surgical Clinic/Center
  • Daytona Beach, FL
  • NPI 1518621622
  NPD (past)

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

• Halifax Hospital Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227

  Hospital

  Care Compare affiliation
• Memorial Health Systems Inc

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823

  Hospital

  Care Compare affiliation
• Memorial Health Systems Inc

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269

  Hospital

  Care Compare affiliation
• Southeast Volusia Healthcare Corporation

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1871977942

  Hospital

  Care Compare affiliation

Specialty

Cardiovascular Disease (Cardiology)Also: Cardiac Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis and Klancke Cardiology PA 13 clinicians

Florida Hospital Healthcare Partners, Inc 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles (7 of 9)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2021.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1114975596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142321",
            "telephone_number": "386-258-8722",
            "fax_number": "386-258-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321322720",
            "telephone_number": "386-258-8722",
            "fax_number": "386-265-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Dunlawton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274252",
            "country_code": "US",
            "telephone_number": "386-265-5926",
            "fax_number": "386-265-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "SURYA",
        "middle_name": "PRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME96830",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME96830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281152900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "94219",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulse Medical Staffing LLC
• Pulse Medical Staffing LLC
• Nancy Carol Purcell, CAT
• Pure Chiropractic & Yoga
• Sandra L Raffety, LMT
• Katy Ann Redel, LMHC
• Regency Elderly Care, Inc.
• Johnny Rivera-Vargas
• Michelle B Rivera
• Gina Roberson-Johnson, MOT, OTR/L

• All providers in Edgewater, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.