Active NPI
Khalid Rao, M.D.
- Internal Medicine Physician
- Lathrup Village, MI
National Provider Identifier
1366421273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301060300
- Practice address
- 26631 Southfield Rd
Lathrup Village, MI 48076-4530 - Phone
- (248) 552-8195
- Fax
- (248) 552-8537
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301060300 | MI | Primary |
Addresses
Primary practice location
26631 Southfield Rd
Lathrup Village, MI 48076-4530
Mailing address
26631 Southfield Rd
Lathrup Village, MI 48076-4530
Phone (248) 552-8195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104617902 | Medicaid | MI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Big Beaver Rd
Suite 200
Troy, MI 48084-5283
Phone (888) 402-0202
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060300 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 365 Health Care Group PLC | Internal Medicine | Current | Accepting new patients |
| Khalid Rao MD PC | Internal Medicine | Current | Accepting new patients |
| Advocates in Home Health Care PC | Current | Accepting new patients |
Locations
26631 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 552-8195
100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195
Interoperability endpoints
- krao1148582@direct.hfhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1538337928
-
- General Practice Physician
- Troy, MI
- NPI 1154697993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1366421273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26631 SOUTHFIELD RD",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480764530",
"telephone_number": "248-552-8195",
"fax_number": "248-552-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26631 SOUTHFIELD RD",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480764530",
"telephone_number": "248-552-8195",
"fax_number": "248-552-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "KHALID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301060300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104617902",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lathrup Village, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.