Individual provider Active NPI

Khalid Rao, M.D.

  • Internal Medicine Physician
  • Lathrup Village, MI
National Provider Identifier
1366421273
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060300 Issued in MI
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

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104617902MedicaidMI

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
I20040719001388 MI Practitioner - Internal Medicine 0840279105 Reassigns benefits to 3 organizations

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
Khalid Rao MD PCGroup PAC ID 8123104866, 2 clinicians

Practice addresses (Care Compare)

100 W Big Beaver Rd
Suite 200
Troy, MI 48084-5283
Phone (888) 402-0202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060300MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
365 Health Care Group PLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Khalid Rao MD PC Internal Medicine CurrentSince Feb 25, 2008 Accepting new patients
Advocates in Home Health Care PC CurrentSince Jun 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.