Individual provider Active NPI

Jalaja Rao, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1679627467
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2766 Issued in TX
Practice address
12201 Renfert Way
Suite 315
Austin, TX 78758-5354
Phone
(512) 837-6000
Fax
(512) 837-6001
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2766 TX Primary
Family Medicine Physician 207Q00000X M2766 TX

Addresses

Primary practice location

12201 Renfert Way
Suite 315
Austin, TX 78758-5354

Mailing address

12201 Renfert Way
Suite 315
Austin, TX 78758-5354
Phone (512) 837-6000

Other identifiers 1

IdentifierTypeStateIssuer
1679627467OtherTXMEDICARE GROUP # 0A5015

Other names 1

  • Jalaja Bettadpur Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070608000395 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5193823516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

11851 Jollyville Rd
Suite 104
Austin, TX 78759-2350
Phone (512) 837-6000

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Sep 10, 2019 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Sep 10, 2019 Accepting new patients

Locations

12201 Renfert Way
Ste 315
Austin, TX 78758
Phone (512) 837-6000

11851 Jollyville Rd
Ste 104
Austin, TX 78759
Phone (512) 257-2425

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

Interoperability endpoints

  • Direct secure messaging: jalaja.rao.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12837/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1679627467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "SUITE 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-837-6000",
            "fax_number": "512-837-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "SUITE 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-837-6000",
            "fax_number": "512-837-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "JALAJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2766",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP # 0A5015",
            "identifier": "1679627467",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JALAJA",
            "last_name": "BETTADPUR",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.