Active NPI
Doddipatala Rao, MD
- Surgery Physician
- Bryan, OH
National Provider Identifier
1144259599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35040490
- Practice address
- 442 W High St
Bryan, OH 43506-1681 - Phone
- (419) 636-4517
- Fax
- (419) 636-6438
- NPI assigned
- Jun 30, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35040490 | OH | Primary |
Addresses
Primary practice location
442 W High St
Bryan, OH 43506-1681
Mailing address
442 W High St
Bryan, OH 43506-1681
Phone (419) 636-4517
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020024032 | Other | OH | RAILROAD |
| 0398378 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35040490 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1144259599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061681",
"telephone_number": "419-636-4517",
"fax_number": "419-636-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061681",
"telephone_number": "419-636-4517",
"fax_number": "419-636-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "DODDIPATALA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35040490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "020024032",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0398378",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.