Individual provider Active NPI

Llewelyn John Rao, MD

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
National Provider Identifier
1518165448
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
35-095322 Issued in OH
Practice address
3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7341
Phone
(216) 831-5700
Fax
(330) 831-1959
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 247780 NY
Ophthalmology Physician 207W00000X 35.095322 OH
Retina Specialist (Ophthalmology) Physician 207WX0107X 35-095322 OH Primary

Addresses

Primary practice location

3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7341

Mailing address

3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7341
Phone (216) 831-5700

Other identifiers 1

IdentifierTypeStateIssuer
3053958MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100810000787 OH Practitioner - Ophthalmology 7113093063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Cleveland, Inc.Group PAC ID 2769463785, 19 clinicians

Practice addresses (Care Compare)

24075 Commerce Park
Beachwood, OH 44122-5846
Phone (216) 831-5700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247780NYMDOphthalmology Physician
35.095322OHMDOphthalmology Physician
35-095322OHMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Eye Consultants Inc Ophthalmology CurrentSince Jan 1, 2012 Accepting new patients
Retina Associates of Cleveland, Inc. Ophthalmology CurrentSince Jan 7, 2012 Accepting new patients
Northern Ohio Eye Consultants Inc Ophthalmology CurrentSince Jan 1, 2012 Accepting new patients
The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. Past Accepting new patients
Retina Associates of Cleveland Past Accepting new patients
Vitreo-Retinal Consultants, Inc. Ophthalmology PastSince Jul 1, 2012 Accepting new patients

Locations

24075 Commerce Park
Beachwood, OH 44122
Phone (216) 831-5700

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

150 7th Ave
Ste 100
Chardon, OH 44024
Phone (440) 285-2020

3401 Enterprise Pkwy
Ste 300
Cleveland, OH 44122
Phone (216) 831-5700

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

6100 S Broadway
Ste 200
Lorain, OH 44053

29001 Cedar Rd
Ste 110
Lyndhurst, OH 44124
Phone (216) 382-8022

15299 Bagley Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 663-0022

5202 Timber Commons Dr
Sandusky, OH 44870

17534 Royalton Rd
Ste 201
Strongsville, OH 44136

4350 Crocker Rd
Ste 200
Westlake, OH 44145
Phone (440) 835-0060

5390 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-8777

5537 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-0820

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: llewelyn.rao.p1@direct.vrc.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1518165448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "216-831-5700",
            "fax_number": "330-831-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "216-831-5700",
            "fax_number": "330-831-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "LLEWELYN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "247780",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.095322",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35-095322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053958",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.