Individual provider Active NPI

Krishnamoorthy Baikady Rao, M.D

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1376515643
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216072 Issued in MA
Practice address
585 Merrimack St
Lowell Community Health Center
Lowell, MA 01854
Phone
(978) 746-7778
Fax
(978) 970-0359
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216072 MA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 216072 MA

Addresses

Primary practice location

585 Merrimack St
Lowell Community Health Center
Lowell, MA 01854

Mailing address

585-597 Merrimack St
Lowell Community Health Center
Lowell, MA 01854
Phone (978) 746-7778

Other identifiers 14

IdentifierTypeStateIssuer
59845OtherFALLON
973042OtherNETWORK HEALTH
0408633OtherUNITED HEALTH CARE
7846502OtherCIGNA
A1440OtherHARVARD PILGRIM HEALTHCAR
1305557MedicaidMA
3320315OtherAETNA
0029032OtherNEIGHBORHOOD HEALTH PLAN
042881348OtherCHOICECARE
J26210OtherBLUE CROSS BLUE SHIELD
042881348OtherBEECH STREET
468563OtherTUFTS
042881348OtherONE HEALTH
042881348OtherUNICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080825000436 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4587739669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowell Community Health Center, Inc.Group PAC ID 6204807944, 85 clinicians

Practice addresses (Care Compare)

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowell Community Health Center, Inc. CurrentSince Mar 31, 2003 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Mar 31, 2003 Accepting new patients

Locations

161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867

585 Merrimack St
Lowell, MA 01854
Phone (978) 746-7778

101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656

Interoperability endpoints

  • Direct secure messaging: krao20617@direct.ctc.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1376515643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585-597 MERRIMACK ST",
            "address_2": "LOWELL COMMUNITY HEALTH CENTER",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-746-7778",
            "fax_number": "978-970-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MERRIMACK ST",
            "address_2": "LOWELL COMMUNITY HEALTH CENTER",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-746-7778",
            "fax_number": "978-970-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "KRISHNAMOORTHY",
        "middle_name": "BAIKADY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216072",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "216072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "59845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "973042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0408633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7846502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "A1440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305557",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3320315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0029032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE",
            "identifier": "042881348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J26210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "042881348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "468563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH",
            "identifier": "042881348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "042881348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.