Individual provider Active NPI

Aarathi Ravish Rao, MDS DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Weston, WI
National Provider Identifier
1215388061
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN123236 Issued in GA
Practice address
Rib Mountain Oral Surgery
4107 Barbican Avenue,Ste 200
Weston, WI 54476
Phone
(715) 513-7667
NPI assigned
Jun 23, 2016
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN123236 GA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 1002252 WI

Addresses

Primary practice location

Rib Mountain Oral Surgery
4107 Barbican Avenue,Ste 200
Weston, WI 54476

Mailing address

Rib Mountain Oral Surgery
4107, Barbican Avenue, Suite 200
Weston, WI 54476
Phone (972) 757-2905

Other practice location 1

High land Lakes Oral Surgery
550 E Timber Dr #4
Rhinelander, WI 54501
Phone (715) 420-0999

Other names 1

  • Aarathi S Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117002871 WI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 4587089560 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN123236GAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Oct 8, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 8, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 8, 2020 Accepting new patients
Highland Lakes Oral Surgery LLC Oral and Maxillofacial Surgery PastSince Apr 14, 2024 Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2268 N Shore Dr
Ste A
Rhinelander, WI 54501
Phone (715) 420-1400

4107 Barbican Ave
Ste 200
Weston, WI 54476
Phone (715) 393-0080

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1215388061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIB MOUNTAIN ORAL SURGERY",
            "address_2": "4107, BARBICAN AVENUE, SUITE 200",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "972-757-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIB MOUNTAIN ORAL SURGERY",
            "address_2": "4107 BARBICAN AVENUE,STE 200",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-513-7667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "High land Lakes Oral Surgery",
            "address_2": "550 E Timber Dr #4",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "54501",
            "country_code": "US",
            "telephone_number": "715-420-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "AARATHI",
        "middle_name": "RAVISH",
        "name_prefix": "Dr.",
        "credential": "MDS DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN123236",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WI",
            "license": "1002252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARATHI",
            "last_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.