Individual provider Active NPI

Karuparthy Seshagiri Rao, M.D.,

  • Internal Medicine Physician
  • Randallstown, MD
National Provider Identifier
1386643542
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0043462 Issued in MD
Practice address
5310 Old Court Rd
201
Randallstown, MD 21133-5243
Phone
(410) 496-7700
Fax
(410) 922-7059
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 D0043462 MD Primary

Addresses

Primary practice location

5310 Old Court Rd
201
Randallstown, MD 21133-5243

Mailing address

6101 Swift Current Way
Clarksville, MD 21029-2907
Phone (410) 496-7700

Other identifiers 2

IdentifierTypeStateIssuer
266502600MedicaidMD
P00150491OtherRRMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040717000330 MD Practitioner - Internal Medicine 1658350129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 Old Court Rd
Suite 301
Pikesville, MD 21208-6417
Phone (410) 496-7700

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0043462MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridginglife, Inc. CurrentSince Apr 1, 2022 Accepting new patients
K S Rao MD LLC Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Bridginglife, Inc. CurrentSince Apr 1, 2022 Accepting new patients
K S Rao MD PA Internal Medicine Past Accepting new patients

Locations

10085 Red Run Blvd
Ste 306
Owings Mills, MD 21117
Phone (410) 581-7804

4000 Old Court Rd
Ste 301
Pikesville, MD 21208
Phone (410) 496-7700

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

5310 Old Court Rd
Ste 201
Randallstown, MD 21133
Phone (410) 496-7700

292 Stoner Ave
Westminster, MD 21157
Phone (443) 974-8725

Organizations & group practices 4

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 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1386643542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 SWIFT CURRENT WAY",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292907",
            "telephone_number": "410-496-7700",
            "fax_number": "410-922-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "address_2": "201",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "410-496-7700",
            "fax_number": "410-922-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "KARUPARTHY",
        "middle_name": "SESHAGIRI",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0043462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266502600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00150491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.