Active NPI
Govind C K Rao, MD
- Pediatrics Physician
- Amsterdam, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 111528
- Practice address
- 1 Front
Neena Rao Medical Center
Amsterdam, NY 12010 - Phone
- (518) 843-4414
- Fax
- (518) 843-4415
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 111528 | NY | |
| Pediatrics Physician | 208000000X | 111528 | NY | Primary |
Addresses
Primary practice location
1 Front
Neena Rao Medical Center
Amsterdam, NY 12010
Mailing address
1 Front St
Neena Rao Medical Center
Amsterdam, NY 12010
Phone (518) 843-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00515077 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|
| 111528 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Healthcare | Current | Accepting new patients | |
| Carondelet Regional Medical, PC | Current | Accepting new patients | |
| St Marys Healthcare | Current | Accepting new patients | |
| St. Mary'S Healthcare | Past | Accepting new patients |
Locations
442 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-0321
1 Front St
Amsterdam, NY 12010
Phone (518) 843-2649
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
Interoperability endpoints
- drrao@mayercope.medentdirect.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Broadalbin, NY
- NPI 1861939944
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1518926401
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Amsterdam, NY
- NPI 1700636347
-
- Psychiatric Hospital Unit
- Amsterdam, NY
- NPI 1164497103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1225146574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FRONT ST",
"address_2": "NEENA RAO MEDICAL CENTER",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "12010",
"telephone_number": "518-843-4414",
"fax_number": "518-843-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FRONT",
"address_2": "NEENA RAO MEDICAL CENTER",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "12010",
"telephone_number": "518-843-4414",
"fax_number": "518-843-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "GOVIND",
"middle_name": "C K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "111528",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "111528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00515077",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.