Individual provider Active NPI

Lakshmi Gloria Rao, DO

  • Interventional Cardiology Physician
  • Daytona Beach, FL
National Provider Identifier
1336707439
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
5151013500 Issued in MI
Practice address
103 Memorial Medical Pkwy Ste 200
Daytona Beach, FL 32117-5672
Phone
(386) 615-1521
NPI assigned
Jun 3, 2019
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5151013500 MI
Cardiovascular Disease Physician 207RC0000X 5151013500 MI
Interventional Cardiology Physician 207RI0011X 5151013500 MI Primary

Addresses

Primary practice location

103 Memorial Medical Pkwy Ste 200
Daytona Beach, FL 32117-5672

Mailing address

103 Memorial Medical Pkwy Ste 200
Daytona Beach, FL 32117-5672
Phone (386) 615-1521

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.mclaren.org/macomb/mclaren-macomb-home
CONNECT URL https://corewellhealth.org/graduate-medical-education/southeast-michigan/fellowships/royal-oak/interventional-cardiology

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190621002002 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2264766484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151013500MIMDInterventional Cardiology Physician

Interoperability endpoints

  • Direct secure messaging: lrao686571@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1336707439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEMORIAL MEDICAL PKWY STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175672",
            "telephone_number": "386-615-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEMORIAL MEDICAL PKWY STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175672",
            "telephone_number": "386-615-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "LAKSHMI",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151013500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5151013500",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "5151013500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mclaren.org/macomb/mclaren-macomb-home",
            "affiliation": "N",
            "address_1": "1000 Harrington St",
            "city": "Mount Clemens",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480432920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://corewellhealth.org/graduate-medical-education/southeast-michigan/fellowships/royal-oak/interventional-cardiology",
            "affiliation": "N",
            "endpointDescription": "Beaumont Royal Oak Interventional Cardiology",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.