Individual provider Active NPI

Priya Venkataraman Rao, MD

  • Pediatric Gastroenterology Physician
  • Glen Burnie, MD
National Provider Identifier
1639332778
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
D67815 Issued in MD
Practice address
300 Hospital Dr Ste 234
Glen Burnie, MD 21061-5707
Phone
(410) 553-8540
NPI assigned
Jul 9, 2008
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X D67815 MD Primary

Addresses

Primary practice location

300 Hospital Dr Ste 234
Glen Burnie, MD 21061-5707

Mailing address

PO Box 37215
Baltimore, MD 21297-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20171122001474 MD Practitioner - Pediatric MedicinePractitioner - Gastroenterology 7012083389 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 11, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 11, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

300 Hospital Dr
Ste 121
Glen Burnie, MD 21061
Phone (410) 761-0900

300 Hospital Dr
Ste 119
Glen Burnie, MD 21061
Phone (410) 553-8240

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

300 Hospital Dr
Ste 234
Glen Burnie, MD 21061
Phone (410) 553-8384

Interoperability endpoints

  • Direct secure messaging: pvenkataramanrao484822@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1639332778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37215",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212977215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 234",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615707",
            "telephone_number": "410-553-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN RAO",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MD",
            "license": "D67815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.