NPIMap

Individual provider Active NPI

Gautami Sreeramoju Rao, M.D.,

  • Hematology & Oncology Physician
  • Nashua, NH
National Provider Identifier
1497862569
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
8997 Issued in NH
Practice address
10 Prospect St
Suite 202
Nashua, NH 03060-3922
Phone
(603) 886-7900
Fax
(603) 594-0654
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 8997 NH Primary

Addresses

Primary practice location

10 Prospect St
Suite 202
Nashua, NH 03060-3922

Mailing address

10 Prospect St
Suite 202
Nashua, NH 03060-3922
Phone (603) 886-7900

Other identifiers 1

IdentifierTypeStateIssuer
30009669MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000318 NH Practitioner - Medical OncologyPractitioner - Other (Physician) 5092785006 Reassigns benefits to 1 organization
I20140804001350 MA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5092785006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

10 Prospect St
Nashua, NH 03060-3922

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2045

8 Prospect St N
Nashua, NH 03060-3925

Hospital & facility affiliations

  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Home Health & Hospice Care Hospice, Merrimack, NH, CCN 301501
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2014 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jul 1, 2014 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Oct 12, 2009 Accepting new patients
Foundation Medical Partners Inc Hematology & Oncology CurrentSince Oct 12, 2009 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

10 Prospect St
Ste 202
Nashua, NH 03060
Phone (603) 886-7900

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 8

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1497862569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PROSPECT ST",
            "address_2": "SUITE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603922",
            "telephone_number": "603-886-7900",
            "fax_number": "603-594-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PROSPECT ST",
            "address_2": "SUITE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603922",
            "telephone_number": "603-886-7900",
            "fax_number": "603-594-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "GAUTAMI",
        "middle_name": "SREERAMOJU",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "8997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009669",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.