Individual provider Active NPI

KVR Mohan Rao, MD

  • Pulmonary Disease Physician
  • Springfield, MA
National Provider Identifier
1477596799
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
40972 Issued in MA
Practice address
222 Carew Street
2ND Floor
Springfield, MA 01104-4103
Phone
(413) 739-5661
Fax
(413) 731-1249
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 40972 MA Primary

Addresses

Primary practice location

222 Carew Street
2ND Floor
Springfield, MA 01104-4103

Mailing address

222 Carew Street
2ND Floor
Springfield, MA 01104-4103
Phone (413) 739-5661

Other practice location 1

2116 Craig Rd
Eau Claire, WI 54701-6149
Phone (715) 858-4500

Other identifiers 1

IdentifierTypeStateIssuer
2072289MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060511000255 MA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7113938655 Reassigns benefits to 2 organizations
I20220926000526 WI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113938655 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40972MAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince Sep 19, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 19, 2022 Accepting new patients
Valley Pulmonary & Medical Associates, P.C. Pulmonary Disease Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 19, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 19, 2022 Accepting new patients
Vibra Physicians LLC CurrentSince Sep 1, 2013 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 19, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 19, 2022 Accepting new patients
Sound Physicians of Massachusetts Inc CurrentSince Feb 1, 2016 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 19, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 19, 2022 Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Feb 1, 2016 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc CurrentSince Sep 19, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 19, 2022 Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

222 Carew St
Fl 2
Springfield, MA 01104
Phone (413) 739-5661

1400 State St
Springfield, MA 01109
Phone (413) 726-6118

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1477596799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CAREW STREET",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044103",
            "telephone_number": "413-739-5661",
            "fax_number": "413-731-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CAREW STREET",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044103",
            "telephone_number": "413-739-5661",
            "fax_number": "413-731-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016149",
            "country_code": "US",
            "telephone_number": "715-858-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "KVR MOHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "40972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072289",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.