Active NPI
Kamalakar T Rao, MD
- Cardiovascular Disease Physician
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME79203
- Practice address
- 1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837 - Phone
- (772) 465-4499
- Fax
- (772) 466-0832
- NPI assigned
- Aug 25, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME79203 | FL | Primary |
Addresses
Primary practice location
1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837
Mailing address
1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837
Phone (772) 465-4499
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49523 | Other | BCBS | |
| 060056935 | Other | RR MCR | |
| 7389236 | Other | AETNA HMO | |
| 258721100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of Ny Upstate Medical University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Nebraska Ave
Suite 9
Fort Pierce, FL 34950-4837
Phone (772) 465-4499
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.86 of 100
- Quality
- 81.87
- Improvement activities
- 40
- Cost
- 80.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79203 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Heart Center, PA | Cardiovascular Disease | Current | Accepting new patients |
Locations
1900 Nebraska Ave
Ste 9
Fort Pierce, FL 34950
Phone (561) 465-4499
1801 SE Hillmoor Dr
Ste C-201
Port Saint Lucie, FL 34952
Phone (772) 337-5556
1631 NW Saint Lucie West Blvd
Ste 102103
Port St Lucie, FL 34986
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1001 SE Ocean Blvd
Ste 105
Stuart, FL 34996
Phone (772) 220-8912
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Fort Pierce, FL
- NPI 1760440440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1174516017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 NEBRASKA AVENUE",
"address_2": "SUITE 9",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504837",
"telephone_number": "772-465-4499",
"fax_number": "772-466-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 NEBRASKA AVENUE",
"address_2": "SUITE 9",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504837",
"telephone_number": "772-465-4499",
"fax_number": "772-466-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "KAMALAKAR",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME79203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "060056935",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "7389236",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258721100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.