Active NPI
Suresh Rao, M.D
- Pulmonary Disease Physician
- Sun Valley, CA
National Provider Identifier
1356377162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A39156
- Practice address
- 9375 San Fernando Rd
Sun Valley, CA 91352-1418 - Phone
- (818) 768-3000
- Fax
- (818) 504-4690
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A39156 | CA | Primary |
Addresses
Primary practice location
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Mailing address
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone (818) 768-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A391560 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20041109000602 | CA | Practitioner - Internal Medicine | 7517920739 | Practice locations: Northridge, CA; Panorama City, CA; Sun Valley, CA; Sylmar, CA; Van Nuys, CA; Mission Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20255 Via Medici
Northridge, CA 91326-4059
Phone (818) 645-0506
Hospital & facility affiliations
- Mission Community Hospital
- Pacifica Hospital of the Valley
- Pacifica Hospital of the Valley DP SNF
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39156 | CA | MD | Pulmonary Disease Physician |
| 39156 | CA | MD | Physical Therapist |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panorama City, CA
- NPI 1750365375
-
- General Acute Care Hospital
- Sun Valley, CA
- NPI 1548328750
-
- General Acute Care Hospital
- Sun Valley, CA
- NPI 1861402935
Nursing home
-
- Skilled Nursing Facility
- Sun Valley, CA
- NPI 1891857389
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1356377162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 SAN FERNANDO RD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913521418",
"telephone_number": "818-768-3000",
"fax_number": "818-504-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9375 SAN FERNANDO RD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913521418",
"telephone_number": "818-768-3000",
"fax_number": "818-504-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "SURESH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A39156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A391560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.