Individual provider Active NPI

Prashanth Ramakrishna Rao, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1205006590
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N2258 Issued in TX
Practice address
1911 Rogers Rd
San Antonio, TX 78251-4614
Phone
(210) 523-9933
Fax
(210) 647-0242
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-049185 IL
Internal Medicine Physician 207R00000X 40841 AZ
Internal Medicine Physician 207R00000X N2258 TX Primary

Addresses

Primary practice location

1911 Rogers Rd
San Antonio, TX 78251-4614

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (210) 523-9933

Other practice location 1

122 Saint Cloud Rd
San Antonio, TX 78228-5009
Phone (726) 240-6949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prashanth.rao.1@29601.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000264 TX Practitioner - Internal Medicine 1355409947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1911 Rogers Rd
San Antonio, TX 78251-4614
Phone (210) 523-9933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-049185ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Conviva Medical Center Management of Texas, P.a. Family Medicine CurrentSince Oct 18, 2021 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine CurrentSince Nov 5, 2016 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Oct 18, 2021 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Wellmed Medical Group, PA Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

4455 Thousand Oaks Dr
San Antonio, TX 78233
Phone (726) 268-7360

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

18414 US Highway 281 N
Ste 104
San Antonio, TX 78259
Phone (210) 354-0800

9418 Guilbeau Rd
San Antonio, TX 78250
Phone (210) 718-0850

3636 Medical Dr
San Antonio, TX 78229
Phone (210) 313-6774

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1911 Rogers Rd
San Antonio, TX 78251
Phone (210) 523-9933

122 Saint Cloud Rd
San Antonio, TX 78228
Phone (210) 761-3393

7142 San Pedro Ave
San Antonio, TX 78216
Phone (726) 204-4745

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1205006590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "210-523-9933",
            "fax_number": "210-647-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 ROGERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-523-9933",
            "fax_number": "210-647-0242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Saint Cloud Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782285009",
            "country_code": "US",
            "telephone_number": "726-240-6949",
            "fax_number": "210-761-3397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "PRASHANTH",
        "middle_name": "RAMAKRISHNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-049185",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prashanth.rao.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1911 Rogers Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782514614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.