Anil V Rao, MD/OBGYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01030190A Issued in IN

Practice address

2812 Theater Ave
Huntington, IN 46750-7978

Phone

(260) 356-0000

Fax

(260) 358-9146

NPI assigned

May 4, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1619925856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DRIVE",
            "address_2": "MAILBOX 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-266-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 THEATER AVE",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467507978",
            "telephone_number": "260-356-0000",
            "fax_number": "260-358-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "ANIL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD/OBGYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01030190A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089194",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna M Prather, MA
• Professional Emergency Physicians Inc
• QHG of Fort Wayne Company LLC
• QHG of Fort Wayne, Inc.
• Christopher Rakoczy, DPT
• Doris Jean Rapp, PH.D.
• Annalee Lakie Rawley, LMFT
• RCG Indiana LLC
• John E Regan, DDS
• David L Reid, M.D.

• Obstetrics & Gynecology Physician in Huntington, IN
• Providers in Huntington, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.