Active NPI
Jayanth G Rao, M.D.
- Radiation Oncology Physician
- Beverly Hills, FL
National Provider Identifier
1528053162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME 65465
- Practice address
- 3406 N Lecanto Hwy.
Suite a
Beverly Hills, FL 34465-3548 - Phone
- (352) 746-1100
- Fax
- (352) 422-7023
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME 65465 | FL | Primary |
Addresses
Primary practice location
3406 N Lecanto Hwy.
Suite a
Beverly Hills, FL 34465-3548
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25903 | Other | FL | BCBS OF FL |
| 103495 | Other | FL | AVMED |
| 25903 | Other | FL | BCBS |
| P00056 | Other | FL | FREEDOM HEALTH |
| P00909691 | Other | FL | RR MEDICARE |
| P01254190 | Other | FL | RAILROAD MCR |
| P201226 | Other | FL | OPTIMUM |
| 2486569 | Other | FL | CIGNA |
| 5002104 | Other | FL | AETNA |
| P502641 | Medicaid | FL | |
| 346441900 | Medicaid | FL | |
| 937635 | Other | FL | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 65465 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Physicians Network LLC | Radiation Oncology | Past | Accepting new patients |
| Genesiscare USA of Florida LLC | Radiation Oncology | Past | Accepting new patients |
| American Radiation Oncology Associates Inc | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- Ocala, FL
- NPI 1013018860
-
- Radiation Oncology Physician
- Winter Haven, FL
- NPI 1790098234
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1528053162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 N LECANTO HWY.",
"address_2": "SUITE A",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344653548",
"telephone_number": "352-746-1100",
"fax_number": "352-422-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "JAYANTH",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME 65465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "25903",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "103495",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25903",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P00056",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00909691",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "P01254190",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P201226",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2486569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5002104",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P502641",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346441900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "937635",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.