Active NPI
Nisha Kadri Rao, M.D
- Child & Adolescent Psychiatry Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 01082684A
- Practice address
- 720 45TH St
Munster, IN 46321-2818 - Phone
- (219) 852-2513
- Fax
- (219) 852-2443
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 01082684A | IN | Primary |
Addresses
Primary practice location
720 45TH St
Munster, IN 46321-2818
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Other practice location 2
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nrao479472@Direct.FranciscanAlliance.org | Direct | |
| Direct Messaging Address | nrao479472@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
720 45th St
Munster, IN 46321
Phone (219) 852-2513
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- nisha.rao.p1@direct.northshorehealth.nextgenshare.com
- nrao479472@direct.franciscanalliance.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1407061336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1689092389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 45TH ST",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212818",
"telephone_number": "219-852-2513",
"fax_number": "219-852-2443"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-2200",
"fax_number": "216-445-9908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-2200",
"fax_number": "216-445-9908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAO",
"first_name": "NISHA",
"middle_name": "KADRI",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IN",
"license": "01082684A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nrao479472@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "24 Joliet St",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "46311",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nrao479472@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "720 45th St",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463212818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.