NPIMap

Individual provider Active NPI

Prakash Rau, MD

  • Gastroenterology Physician
  • Braintree, MA
National Provider Identifier
1447212238
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
39034 Issued in MA
Practice address
1681 Washington St
Braintree, MA 02184-7948
Phone
(781) 848-6040
Fax
(781) 843-1314
NPI assigned
Apr 5, 2006
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 39034 MA Primary

Addresses

Primary practice location

1681 Washington St
Braintree, MA 02184-7948

Mailing address

1681 Washington St
Braintree, MA 02184-7948
Phone (781) 848-6040

Other identifiers 4

IdentifierTypeStateIssuer
6128OtherMAHARVARD PILGRIM
2069008MedicaidMA
039034OtherMATUFTS HEALTH PLAN
C03040OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000146 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 5698670495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (781) 826-8065

1681 Washington St
Braintree, MA 02184-7948
Phone (781) 848-6040

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

541 Main St
Suite 314
South Weymouth, MA 02190-1857
Phone (781) 952-1460

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Harbor Medical Associates, Inc. Gastroenterology CurrentSince Jul 1, 2006 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Gastroenterology CurrentSince Jan 1, 2026 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2006 Accepting new patients

Locations

1681 Washington St
Braintree, MA 02184
Phone (781) 348-9041

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

15 Corporate Park Dr
Pembroke, MA 02359
Phone (781) 826-8065

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: rau.uprakash.bwh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1447212238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847948",
            "telephone_number": "781-848-6040",
            "fax_number": "781-843-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847948",
            "telephone_number": "781-848-6040",
            "fax_number": "781-843-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "39034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "6128",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069008",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "039034",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C03040",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.