Active NPI
Vijay M. Rao, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD036039L
- Practice address
- 111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824 - Phone
- (215) 955-6226
- Fax
- (215) 923-1562
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD036039L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD036039L | PA | Primary |
Addresses
Primary practice location
111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2395401 | Medicaid | NJ | |
| 000708624 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036039L | PA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| 800 Imaging Associates LLC | Current | Accepting new patients | |
| Jeanes Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rittenhouse Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lebanon Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Professionals of Pennsylvania PC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates, PA | Past | Accepting new patients | |
| Insight Health Corp | Past | Accepting new patients |
Locations
462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999
150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674
800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568
825 Town Center Dr
Ste 100
Langhorne, PA 19047
Phone (215) 750-1615
1 W Germantown Pike
Norristown, PA 19401
Phone (610) 277-3202
850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900
301 Callowhill St
Philadelphia, PA 19123
Phone (215) 574-9400
Organizations & group practices 10
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Doylestown, PA
- NPI 1861583668
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1639110240
-
- Diagnostic Radiology Physician
- Chambersburg, PA
- NPI 1346246436
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1578512224
-
- Radiology Clinic/Center
- Collegeville, PA
- NPI 1154576114
Diagnostic Radiology
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1063067635
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1952394363
-
- Physiological Laboratory
- Wilkes Barre, PA
- NPI 1174647267
-
- Radiology Clinic/Center
- Vineland, NJ
- NPI 1457370694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1124044003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6226",
"fax_number": "215-923-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "VIJAY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD036039L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD036039L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2395401",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000708624",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.