Georgina Srinivas Rao, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036098889 Issued in IL

Practice address

1024 W Main St
St Charles, IL 60174-1745

Phone

(630) 262-2640

Fax

(630) 262-2645

NPI assigned

Feb 22, 2007

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Psychiatry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Georgina Srinivas Rao, M.D., S.C.Group PAC ID 1052477981, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Georgina Srinivas Rao, M.D., S.C.

  • Psychiatry Physician
  • Saint Charles, IL
  • NPI 1831344480
  Medicare reassignment Care Compare group Authorized official
• Summit Pointe

  • Psychiatry Physician
  • Battle Creek, MI
  • NPI 1700833555
  NPD (past)

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

• Delnor Community Hospital

  • General Acute Care Hospital
  • Geneva, IL
  • NPI 1407859655
  Care Compare affiliation

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1306971015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741745",
            "telephone_number": "630-262-2640",
            "fax_number": "630-262-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741745",
            "telephone_number": "630-262-2640",
            "fax_number": "630-262-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS RAO",
        "first_name": "GEORGINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036098889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4532713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Spielman, BA
• Emily G Spillios, MSW, LSW
• Joni C Spohn, LCSW
• Sports and Occupational Health Consultants, LTD
• Dana Nicole Squiers, OTR/L
• St Charles Plastic Surgery, LTD.
• St Charles Skilled Nursing Facility LLC
• St. Charles Family Dentristry L.T.D.
• St. Charles Family Medical Center, SC
• St. Charles Foot and Ankle Center PC

• Psychiatry Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.