Individual provider Active NPI

Daliparthy Venugopala Rao, M.D

  • Otolaryngology Physician
  • Carmel, NY
National Provider Identifier
1629068648
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
137134 Issued in NY
Practice address
1071 Stoneleigh Ave
Carmel, NY 10512-2400
Phone
(845) 225-6116
Fax
(845) 225-6126
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 137134 NY Primary

Addresses

Primary practice location

1071 Stoneleigh Ave
Carmel, NY 10512-2400

Mailing address

1071 Stoneleigh Ave
Carmel, NY 10512-2400
Phone (845) 225-6116

Other identifiers 1

IdentifierTypeStateIssuer
00622459MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100216000522 NY Practitioner - Otolaryngology 8022152941 Practice locations: Carmel, NY

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: drao@direct.health-quest.org

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1629068648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122400",
            "telephone_number": "845-225-6116",
            "fax_number": "845-225-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122400",
            "telephone_number": "845-225-6116",
            "fax_number": "845-225-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "DALIPARTHY",
        "middle_name": "VENUGOPALA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "137134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00622459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.