Subba M Rao, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23617 Issued in SC

Practice address

2800 Bush River Rd
Suite 5
Columbia, SC 29210

Phone

(803) 551-2900

Fax

(803) 551-2979

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Psychiatry

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Brain Center, PAGroup PAC ID 1850491523, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Capital Brain Center, PA

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1629106430
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Sumter, SC
  • NPI 1366075343
  NPD (past)
• Sumter Psychiatry Associates PA

  • Psychiatry Physician
  • Sumter, SC
  • NPI 1679589485
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1518053909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9426",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292909426",
            "telephone_number": "803-551-2900",
            "fax_number": "803-551-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BUSH RIVER RD",
            "address_2": "SUITE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "803-551-2900",
            "fax_number": "803-551-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SUBBA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236177",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ambika Rao, M.D.
• Promila B Rao, MD
• Raviprasad Govind Rao, M.D
• Sridevi Rao, PT,DPT
• Srinadh O Rao, MD
• Swathi Sathyanarayana Rao, M.D.
• Rapha Restorative Health Care LLC
• Rapid Medix LLC
• Stephanie Rapton, LPC
• Kevin Anthony Rasberry, SDVOSB

• Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.