Individual provider Active NPI

Sankineni J Rao, M.D.

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1609822907
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0034525 Issued in MD
Practice address
4000 Mitchellville Rd Ste 422
Bowie, MD 20716
Phone
(201) 262-9872
Fax
(301) 262-2730
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0034525 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste 422
Bowie, MD 20716

Mailing address

4000 Mitchellville Rd Ste 422
Bowie, MD 20716-3104
Phone (301) 262-9872

Other identifiers 1

IdentifierTypeStateIssuer
275581500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000021 DC Practitioner - Internal Medicine 1759561905 Reassigns benefits to 3 organizations
I20200429002052 MD Practitioner - Internal Medicine 1759561905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot R Goldstein MD and Joel R Schulman MD PAGroup PAC ID 9335120278, 39 clinicians
Riverside Medical Associates PAGroup PAC ID 9830086487, 3 clinicians

Practice addresses (Care Compare)

4000 Mitchellville Rd
Suite 220
Bowie, MD 20716-3104
Phone (301) 927-2683

6510 Kenilworth Ave
Suite 1200
Riverdale, MD 20737-1339
Phone (301) 927-7750

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Oct 1, 2022 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Riverside Medical Associates PA CurrentSince Jul 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

4000 Mitchellville Rd
Ste 220
Bowie, MD 20716
Phone (301) 257-5489

4000 Mitchellville Rd
Ste 422
Bowie, MD 20716
Phone (301) 262-9872

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

6400 Marlboro Pike
Forestville, MD 20747
Phone (301) 736-6900

13900 Baltimore Ave
Laurel, MD 20707
Phone (301) 277-3331

6510 Kenilworth Ave
Ste 1200
Riverdale, MD 20737
Phone (301) 725-5652

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

Interoperability endpoints

  • Direct secure messaging: srao801804@direct.umm.edu
  • FHIR API: https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHICD/Endpoint/HFHICD

Organizations & group practices 8

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 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1609822907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE 422",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-262-9872",
            "fax_number": "301-262-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE 422",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "201-262-9872",
            "fax_number": "301-262-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SANKINENI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275581500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.