Active NPI
Akshatha Rao, M.D.
- Internal Medicine Physician
- London, KY
National Provider Identifier
1366720807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 49428
- Practice address
- 1406 W 5TH St
Suite 201
London, KY 40741-1688 - Phone
- (606) 330-2377
- Fax
- (606) 330-2369
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 49428 | KY | |
| Internal Medicine Physician | 207R00000X | 49428 | KY | Primary |
Addresses
Primary practice location
1406 W 5TH St
Suite 201
London, KY 40741-1688
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100425930 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49428 | KY | MD | Nephrology Physician |
Interoperability endpoints
- arao1683664@direct.texashealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1366720807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7818",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 W 5TH ST",
"address_2": "SUITE 201",
"city": "LONDON",
"state": "KY",
"postal_code": "407411688",
"telephone_number": "606-330-2377",
"fax_number": "606-330-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "AKSHATHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "49428",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "49428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100425930",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.