Radhika Chenumolu Rao, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

053392 Issued in GA

Practice address

2850 Paces Ferry Rd SE
Suite 460
Atlanta, GA 30339-5719

Phone

(678) 556-4950

Fax

(678) 556-4951

NPI assigned

Jan 30, 2006

Last updated

Sep 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cobb Medical Associates, LLC

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1831277987
  NPD
• Smyrna Family Medicine, LLC

  dba Premier Primary Care Medicine

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1598168650
  NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1205807104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PACES FERRY RD SE STE 460-470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395719",
            "telephone_number": "678-556-4950",
            "fax_number": "678-556-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PACES FERRY RD SE",
            "address_2": "SUITE 460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395719",
            "telephone_number": "678-556-4950",
            "fax_number": "678-556-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "RADHIKA",
        "middle_name": "CHENUMOLU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836680261A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrao96324@directwellstar.org",
            "affiliation": "N",
            "address_1": "2850 Paces Ferry Rd SE",
            "address_2": "Suite 460",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303395719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arun Aroor Rao, MD
• Birju Rao, M.D.
• Chandrika Rao, M.D.
• Jayalakshmi K Rao, MD
• Kirthana Rao
• Rama K Rao, MD
• Ravi Suryanarayan Rao, MD
• Supriya Rao, M.D
• Karen Marie Rapach, LPC
• Hal S. Raper Jr., D.D.S.

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.