Active NPI
Anjali S Rao, M.D.
- Developmental - Behavioral Pediatrics Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 82392-20
- Practice address
- 1500 Highland Ave
Madison, WI 53705-2274 - Phone
- (608) 263-3301
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-108644 | IL | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 82392-20 | WI | Primary |
Addresses
Primary practice location
1500 Highland Ave
Madison, WI 53705-2274
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other practice location 1
5841 S Maryland Ave # Mc8016
Chicago, IL 60637-1443
Phone (773) 702-0459
Other practice location 2
2300 N Childrens Plz
Outreach Physician Services
Chicago, IL 60614-3363
Phone (773) 880-6903
Other practice location 3
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108644 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-108644 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Past | Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
1500 Highland Ave
Madison, WI 53705
Phone (608) 263-3301
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- arao978614@direct.unitypoint.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1194719690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHLAND AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537052274",
"telephone_number": "608-263-3301"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave # Mc8016",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "773-702-0459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 N Childrens Plz",
"address_2": "Outreach Physician Services",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606143363",
"country_code": "US",
"telephone_number": "773-880-6903",
"fax_number": "773-880-3068",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 E Chicago Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112991",
"country_code": "US",
"telephone_number": "312-227-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAO",
"first_name": "ANJALI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-108644",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WI",
"license": "82392-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108644",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.