Geetha P Rao, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

145525 Issued in NY

Practice address

719 West Nyack Road
Suite #30
West Nyack, NY 10994-2241

Phone

(845) 358-9102

Fax

(845) 358-0091

NPI assigned

Sep 22, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• County of Rockland

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pomona, NY
  • NPI 1518977164
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WEST NYACK ROAD",
            "address_2": "SUITE #30",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942241",
            "telephone_number": "845-358-9102",
            "fax_number": "845-358-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 WEST NYACK ROAD",
            "address_2": "SUITE #30",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942241",
            "telephone_number": "845-358-9102",
            "fax_number": "845-358-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "GEETHA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "145525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00761486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "RP044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "20397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Scott Pritsky, RPA-C
• Kristen Pupo, LCSW-R
• Jennifer A Quitadamo, L.AC
• Enzo A Ragucci, MD
• Karen Ramsey, COTA
• Judith Carol Raspanti
• Errold St Claire Reid Jr., MD
• David Resnick
• Ephraim Resnik, MD
• Edward Rhee, MD

• Internal Medicine Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.