Rao S Bhatraju, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

27559 Issued in KY

Practice address

180 Town Mountain Rd
Suite 111
Pikeville, KY 41501-1698

Phone

(606) 432-0168

Fax

(606) 432-0639

NPI assigned

Jun 22, 2005

Reactivated

Apr 7, 2006

Last updated

Aug 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rao S. Bhatraju, MD, PSC

  • Specialist
  • Pikeville, KY
  • NPI 1053582726
  NPD (past) Authorized official
• Our Lady of the Way Hospital, Inc

  • Family Medicine Physician
  • Martin, KY
  • NPI 1255357364
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1386640670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TOWN MOUNTAIN RD",
            "address_2": "SUITE 111",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011698",
            "telephone_number": "606-432-0168",
            "fax_number": "606-432-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TOWN MOUNTAIN RD",
            "address_2": "SUITE 111",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011698",
            "telephone_number": "606-432-0168",
            "fax_number": "606-432-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATRAJU",
        "first_name": "RAO",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-08-13",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "27559",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KY",
            "license": "27559",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "27559",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "27559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "006895400",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35000827",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA FUNDS",
            "identifier": "1409437",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BS OF TENN",
            "identifier": "000136105",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BS OF VA",
            "identifier": "098169",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KY",
            "identifier": "000000050525",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "K010543",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64275597",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125158000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Bevins, RN
• Corie Lynn Bevins, APRN
• Jeremy Clarke Bevins, APRN
• Ravinder Singh Bhagrath, MD
• Bhatraju Medical Clinic
• BHG Lviii, LLC
• BHG Lviii, LLC (BHG Medical Services Kentucky)
• BHG XXV, LLC (BHG Pikeville Treatment Center)
• Big Sandy Dental Center PSC
• Big Sandy Health Care Inc (Shelby Valley Clinic Pharmacy)

• Surgery Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.