Jyothi Rao-Mahadevia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0055810 Issued in MD

Practice address

2702 Back Acre Circle
Suite 290C
Mount Airy, MD 21711-7769

Phone

(301) 703-5067

Fax

(301) 703-5067

NPI assigned

Dec 12, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1902/brand/6/csg/45/fhir/r4
• Direct secure messaging: jyothi.rao-mahadevia.2@11878.direct.athenahealth.com
• Direct secure messaging: jyothi.rao-mahadevia.3@11878.direct.athenahealth.com

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.

• Crossroads Medical Associates, LLC

  • Internal Medicine Physician
  • Ellicott City, MD
  • NPI 1720103500
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1124003249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIRCLE",
            "address_2": "SUITE 290C",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217117769",
            "telephone_number": "301-703-5067",
            "fax_number": "301-703-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIRCLE",
            "address_2": "SUITE 290C",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217117769",
            "telephone_number": "301-703-5067",
            "fax_number": "301-703-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO-MAHADEVIA",
        "first_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Presley, RPH
• Katharine A Price, M.D.
• Ashley Pullum, M.S.ED, BCABA
• Katie Quader
• Brent D Rader, DPT
• Sudhir R Rao, M.D.
• Real Gray LLC
• Aparna Reddy
• Timothy S Reineke, PHARMD
• Melanie C Rennie, O.D.

• Internal Medicine Physician in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.