Active NPI
Gadam M. Rao,MD,PA
- Pediatrics Physician
- Wichita Falls, TX
National Provider Identifier
1164516183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K1634
- Legal business name
- GADAM M. RAO,MD,PA
- Practice address
- 1718 10TH Street
Wichita Falls, TX 76301 - Phone
- (940) 761-2229
- Fax
- (940) 761-2220
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gadam M Rao, MD
- Title
- Physician
- Phone
- (940) 761-2229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1634 | TX | Primary |
Addresses
Primary practice location
1718 10TH Street
Wichita Falls, TX 76301
Mailing address
PO Box 4289
Wichita Falls, TX 76308
Phone (940) 761-2229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092131402 | Medicaid | TX | |
| 092131401 | Medicaid | TX | |
| 0048AR | Other | TX | BLUE CROSS BLUE SHIELD |
| 8AJ053 | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Wichita Falls, TX
- NPI 1871537431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1164516183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4289",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76308",
"telephone_number": "940-761-2229",
"fax_number": "940-761-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 10TH STREET",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76301",
"telephone_number": "940-761-2229",
"fax_number": "940-761-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GADAM M. RAO,MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "GADAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "940-761-2229",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "K1634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092131402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092131401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0048AR",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AJ053",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.