NPIMap

Individual provider Active NPI

Srinadh O Rao, MD

  • Pediatric Cardiology Physician
  • Columbia, SC
National Provider Identifier
1669455911
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
40830 Issued in SC
Practice address
9 Richland Medical Park Dr Ste 110
Columbia, SC 29203
Phone
(803) 434-7940
Fax
(803) 434-2262
NPI assigned
Nov 21, 2005
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A79126 AK
Pediatric Cardiology Physician 2080P0202X A79126 CA
Pediatric Cardiology Physician 2080P0202X MD2012-0048 NM
Pediatric Cardiology Physician 2080P0202X M-11565 ID
Pediatric Cardiology Physician 2080P0202X 40830 SC Primary

Addresses

Primary practice location

9 Richland Medical Park Dr Ste 110
Columbia, SC 29203

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111

Other identifiers 1

IdentifierTypeStateIssuer
408302MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srao383493@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC, WA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160324001882 TX Practitioner - Pediatric Medicine 1658301197 Reassigns benefits to 1 organization
I20180621000008 SC Practitioner - Pediatric Medicine 1658301197 Reassigns benefits to 4 organizations
I20241126003708 WA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 1658301197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

9 Richland Medical Park Dr
Suite 110
Columbia, SC 29203-6859
Phone (803) 434-7961

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79126AKMDPediatrics Physician
A79126CAMDPediatric Cardiology Physician
M-11565IDMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Aug 23, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 19, 2022 Accepting new patients
Prisma Health Tuomey CurrentSince Sep 18, 2019 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 23, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 19, 2022 Accepting new patients
Lexington Health Inc CurrentSince May 31, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 15, 2016 Accepting new patients
Multicare Health System CurrentSince Nov 6, 2024 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince May 31, 2022 Accepting new patients
Prisma Health Medical Group-Midlands Pediatrics Current Accepting new patients
Multicare Health System Pediatrics CurrentSince Nov 6, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
The Nemours Foundation Current Accepting new patients
Prisma Health Tuomey CurrentSince Sep 18, 2019 Accepting new patients
William Neal Evans, MD, LTD Pediatric Cardiology Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

9 Richland Medical Park Dr
Ste 110
Columbia, SC 29203
Phone (803) 434-7940

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

2728 Sunset Blvd
Ste 300
West Columbia, SC 29169
Phone (803) 744-4940

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1669455911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR STE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-7940",
            "fax_number": "803-434-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Constitution Blvd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063100",
            "country_code": "US",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "SRINADH",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "A79126",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A79126",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NM",
            "license": "MD2012-0048",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "ID",
            "license": "M-11565",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "SC",
            "license": "40830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408302",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srao383493@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "srao383493@direct.ghs.myhfn.org",
            "address_1": "9 Richland Medical Park Dr Ste 110",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.