Active NPI
Lakshmi Gloria Rao, DO
- Interventional Cardiology Physician
- Daytona Beach, FL
National Provider Identifier
1336707439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 5151013500
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190621002002 | MI | Order and Referring Only - Internal Medicine | 2264766484 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013500 | MI | MD | Interventional Cardiology Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.