Supriya Rao, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT192967 Issued in PA

Practice address

41 Wellman St Ste 400
Lowell, MA 01851-5161

Phone

(978) 459-6737

Fax

(855) 818-1869

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Gastroenterology

Education

Duke University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrated Gastroenterology Consultants, P.C.Group PAC ID 0941260897, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: supriya.rao.1@20039.direct.athenahealth.com

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.

• Integrated Gastroenterology Consultants, PC

  • Physical Therapist
  • North Chelmsford, MA
  • NPI 1396075123

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Igc LLC

  dba Integrated Gastroenterology Consultants, PC

  • Gastroenterology Physician
  • Lowell, MA
  • NPI 1033871785
  NPD (past)

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

• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1205098886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WELLMAN ST STE 400",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515161",
            "telephone_number": "617-638-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WELLMAN ST STE 400",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515161",
            "telephone_number": "978-459-6737",
            "fax_number": "855-818-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SUPRIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "260944",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT192967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Ramos
• Jagruti Rana
• Deborah Randazo
• Krishnamoorthy Baikady Rao, M.D
• Pramila Mitnala Rao, AGNP-C
• Amanda Raposo
• Alicia M Rapson, M.ED., LMHC
• Bharati Koli Rastogi, R.D.
• Maura Roberta Ratchford, RN
• Chetra Rath, PHARMD

• Internal Medicine Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.

Verify at the official NPI Registry.