Organization Active NPI

Sanjay N Rao MD LLC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1568584506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SANJAY N RAO MD LLC
Practice address
1426 S Federal St
E
Chicago, IL 60605-3060
Phone
(847) 668-5498
Fax
(312) 765-0409
NPI assigned
Apr 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sanjay Nagulapalli Rao, M.D.
Title
President
Phone
(847) 668-5498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

1426 S Federal St
E
Chicago, IL 60605-3060

Mailing address

1426 S Federal St
E
Chicago, IL 60605-3060
Phone (847) 668-5498

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568584506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 S FEDERAL ST",
            "address_2": "E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053060",
            "telephone_number": "847-668-5498",
            "fax_number": "312-765-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 S FEDERAL ST",
            "address_2": "E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053060",
            "telephone_number": "847-668-5498",
            "fax_number": "312-765-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY N RAO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "NAGULAPALLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-668-5498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.