Individual provider Active NPI

Sanjeev B N Rao, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1386740074
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2005028681 Issued in MO
Practice address
909 N 14TH St
Saint Louis, MO 63106-3826
Phone
(314) 531-1770
Fax
(314) 771-9485
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2005028681 MO Primary

Addresses

Primary practice location

909 N 14TH St
Saint Louis, MO 63106-3826

Mailing address

5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 531-1770

Other identifiers 2

IdentifierTypeStateIssuer
0-612-668-4OtherECFMG
207610908MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20061128000156 MO Practitioner - Psychiatry 7113925272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5669 Delmar Blvd
Saint Louis, MO 63112-2615
Phone (314) 531-1770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jean Kerr People'S Health Centers CurrentSince May 25, 2025 Accepting new patients
Betty Jean Kerr People'S Health Centers PastSince Nov 1, 2021 Accepting new patients

Locations

5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248

5669 Delmar Blvd
Saint Louis, MO 63112
Phone (314) 530-7123

Interoperability endpoints

  • Direct secure messaging: sanjeev.rao.p2@direct.phcenters.nextgenshare.com

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1386740074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122617",
            "telephone_number": "314-531-1770",
            "fax_number": "314-771-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N 14TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063826",
            "telephone_number": "314-531-1770",
            "fax_number": "314-771-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SANJEEV",
        "middle_name": "B N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2005028681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-612-668-4",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207610908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.