Individual provider Active NPI

Avani Dholakia Rao, M.D.

  • Radiation Oncology Physician
  • Baltimore, MD
National Provider Identifier
1295006567
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D87017 Issued in MD
Practice address
850 W Baltimore St
Baltimore, MD 21201
Phone
(410) 369-5200
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D87017 MD Primary

Addresses

Primary practice location

850 W Baltimore St
Baltimore, MD 21201

Mailing address

PO Box 65056
Baltimore, MD 21264-5056
Phone (410) 706-4919

Other practice location 1

600 North Wolfe Street
The Johns Hopkins Hospital
Baltimore, MD 21287-2109
Phone (410) 955-5000

Other names 1

  • Dr. Avani Satish Dholakia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190801001330 MD Practitioner - Radiation Oncology 9032332242 Reassigns benefits to 2 organizations
I20200714002023 DC Practitioner - Radiation Oncology 9032332242 Reassigns benefits to 1 organization
I20200716003160 VA Practitioner - Radiation Oncology 9032332242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Johns Hopkins University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology Associates PCGroup PAC ID 1254302359, 22 clinicians

Practice addresses (Care Compare)

44035 Riverside Pkwy
Suite 100
Leesburg, VA 20176-8274
Phone (703) 858-8850

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
76.08
Promoting interoperability
100
Improvement activities
40
Cost
59.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D87017MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
Radiation Oncology Associates, PC Radiation Oncology CurrentSince Aug 24, 2020 Accepting new patients
Maryland Proton Treatment Center, LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-4250

8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850

2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1295006567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65056",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212645056",
            "telephone_number": "410-706-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-369-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 North Wolfe Street",
            "address_2": "The Johns Hopkins Hospital",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212872109",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "AVANI",
        "middle_name": "DHOLAKIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D87017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVANI",
            "last_name": "DHOLAKIA",
            "middle_name": "SATISH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.