NPIMap

Individual provider Active NPI

Raj Rao, M.D

  • General Practice Physician
  • Harrisville, MI
National Provider Identifier
1144526252
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301084837 Issued in MI
Practice address
177 N Barlow Rd
Harrisville, MI 48740-9607
Phone
(989) 736-8157
Fax
(989) 358-3762
NPI assigned
Feb 7, 2011
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301084837 MI Primary

Addresses

Primary practice location

177 N Barlow Rd
Harrisville, MI 48740-9607

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929
Phone (989) 358-0673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raj.rao.p1@direct.alcona.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000624 MI Practitioner - General Practice 9931378668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

11745 US Hwy 23 S
Alcona Health Centers Ossineke Ser
Ossineke, MI 49766-9582
Phone (989) 471-2156

177 N Barlow Rd
Harrisville, MI 48740-9607
Phone (989) 736-8157

181 N Barlow Rd
Ahc Tiger Health Extension
Harrisville, MI 48740-9607
Phone (989) 736-8716

205 N State St
Alcona Health Centers Harrisville
Harrisville, MI 48740-9255
Phone (989) 724-5655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301084837MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Lincoln Haven LLC Past Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients
Smith-Jamieson Inc. Past Accepting new patients
Alpena Opco LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: raj.rao.p1@direct.alcona.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Smith-Jamieson IncHarrisville, MI, CCN 235628 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 18, 2018
Dec 18, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Smith-Jamieson Inc.

    dba jamieson nursing home

    • Nursing Facility/Intermediate Care Facility
    • Harrisville, MI
    • NPI 1609863224

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1144526252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-358-0673",
            "fax_number": "989-358-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N BARLOW RD",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409607",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "RAJ",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301084837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raj.rao.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "177 N Barlow Rd",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487409607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisville, MI

Sources for this page

Verify at the official NPI Registry.