Individual provider Active NPI

Suraj Rao, MD

  • Interventional Cardiology Physician
  • Aventura, FL
National Provider Identifier
1336467018
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME136640 Issued in FL
Practice address
21097 NE 27TH CT Ste 100
Aventura, FL 33180
Phone
(305) 792-0012
Fax
(305) 792-0030
NPI assigned
May 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036.133157 IL
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X ME136640 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT Ste 100
Aventura, FL 33180

Mailing address

3801 Biscayne Blvd Ste 300
Miami, FL 33137-9800
Phone (305) 571-0620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190123002775 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7719289040 Reassigns benefits to 2 organizations
I20210520001664 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7719289040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

6301 Abercorn St
Savannah, GA 31405-5701
Phone (912) 350-7020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143173CAMDMarriage & Family Therapist
036.133157ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC CurrentSince Feb 16, 2021 Accepting new patients
West Florida Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Mar 15, 2021 Accepting new patients
Collier Hma Physician Management LLC Cardiovascular Disease CurrentSince Feb 16, 2021 Accepting new patients
Savannah Multispecialty Associates, LLC Interventional Cardiology CurrentSince Jun 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

3780 US Highway 17
Richmond Hill, GA 31324
Phone (912) 756-2292

4700 Waters Ave
Ste 403
Savannah, GA 31404
Phone (912) 273-1150

6301 Abercorn St
Savannah, GA 31405
Phone 9123528700 ext. 127

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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 2

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1336467018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISCAYNE BLVD STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331379800",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-792-0012",
            "fax_number": "305-792-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SURAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-05",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.133157",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME136640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.