NPIMap

Individual provider Active NPI

Ravishankar E. Rao, M.D.

  • Sports Medicine (Family Medicine) Physician
  • La Mesa, CA
National Provider Identifier
1154617306
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
C202218 Issued in CA
Practice address
8851 Center Dr Ste 500
La Mesa, CA 91942-3033
Phone
(619) 740-5757
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X C202218 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 500
La Mesa, CA 91942-3033

Mailing address

8851 Center Dr Ste 500
La Mesa, CA 91942-3033
Phone (619) 740-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150903001941 PA Practitioner - Family Practice 3779899075 Reassigns benefits to 1 organization
I20251010001924 CA Practitioner - Family Practice 3779899075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharpcare Medical Group ApcGroup PAC ID 0244518736, 23 clinicians

Practice addresses (Care Compare)

8851 Ctr Dr
Suite 500
La Mesa, CA 91942-3033
Phone (619) 740-5757

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C202218CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 1, 2015 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Sharpcare Medical Group, Apc Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

8851 Center Dr
Ste 500
La Mesa, CA 91942
Phone (619) 461-2660

230 Prospect Pl
Ste 340B
San Diego, CA 92118
Phone (619) 522-4000

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

476 Rolling Ridge Dr
Ste 101
State College, PA 16801
Phone (814) 689-4980

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1154617306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 500",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423033",
            "telephone_number": "619-740-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 500",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423033",
            "telephone_number": "619-740-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "RAVISHANKAR",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "C202218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.