Individual provider Active NPI

Sarita Rao, ANP-BC

  • Adult Health Nurse Practitioner
  • Roseville, MI
National Provider Identifier
1376973602
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704276220 Issued in MI
Practice address
25779 Kelly Rd Ste C
Roseville, MI 48066-4973
Phone
(586) 774-0700
Fax
(586) 774-9841
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704276220 MI Primary

Addresses

Primary practice location

25779 Kelly Rd Ste C
Roseville, MI 48066-4973

Mailing address

25779 Kelly Rd Ste C
Roseville, MI 48066-4973
Phone (586) 774-0700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520000277 MI Practitioner - Nurse Practitioner 1557650181 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704276220MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 14, 2018 Accepting new patients
Heart Rhythm and Pacemaker Specialist PLLC CurrentSince Feb 1, 2023 Accepting new patients
Mukhtar a Khan MD,Facc,PC Past Accepting new patients

Locations

22060 Beech St
Ste 200
Dearborn, MI 48124
Phone (313) 228-0505

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

25779 Kelly Rd
Roseville, MI 48066
Phone (586) 774-7987

25779 Kelly Rd
Ste C
Roseville, MI 48066
Phone (586) 774-0700

Interoperability endpoints

  • Direct secure messaging: srao1148590@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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1376973602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25779 KELLY RD STE C",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664973",
            "telephone_number": "586-774-0700",
            "fax_number": "586-774-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25779 KELLY RD STE C",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664973",
            "telephone_number": "586-774-0700",
            "fax_number": "586-774-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SARITA",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704276220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.