NPIMap

Individual provider Active NPI

Gopal S Rao, MD

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1447229885
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036109000 Issued in IL
Practice address
800 Biesterfield Rd
Suite 705a
Elk Grove Village, IL 60007-3361
Phone
(847) 981-6061
Fax
(847) 981-6062
NPI assigned
Mar 17, 2006
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 036109000 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Suite 705a
Elk Grove Village, IL 60007-3361

Mailing address

800 Biesterfield Rd Ste 625
Elk Grove Village, IL 60007-3362
Phone (847) 981-6061

Other identifiers 2

IdentifierTypeStateIssuer
03610900MedicaidIL
P00686557OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080304000773 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9032141155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Primary Care LLCGroup PAC ID 1153863105, 2 clinicians

Practice addresses (Care Compare)

800 Biesterfield Rd
Suite 625
Elk Grove Village, IL 60007-3362
Phone (847) 981-6061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Physician Services, P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Partners in Primary Care, LLC Internal Medicine CurrentSince Apr 24, 2024 Accepting new patients
Staten Island Hospitalists, PC Internal Medicine Past Accepting new patients
Bonaventure Medical Foundation, LLC Past Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients

Locations

800 Biesterfield Rd
Ste 625
Elk Grove Vlg, IL 60007
Phone (847) 437-7377

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

Interoperability endpoints

  • Direct secure messaging: gopal.rao.1@31338.direct.athenahealth.com

Organizations & group practices 6

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 11

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1447229885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 625",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073362",
            "telephone_number": "847-981-6061",
            "fax_number": "872-241-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 705A",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-981-6061",
            "fax_number": "847-981-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "GOPAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036109000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03610900",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00686557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.