Individual provider Active NPI

Metram J Rao, M.D.

  • Interventional Cardiology Physician
  • Spring, TX
National Provider Identifier
1720008451
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G1170 Issued in TX
Practice address
2950 FM 2920 Road
Suite 180
Spring, TX 77388
Phone
(281) 972-2079
Fax
(281) 972-2074
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G1170 TX Primary

Addresses

Primary practice location

2950 FM 2920 Road
Suite 180
Spring, TX 77388

Mailing address

2950 FM 2920 Road
Suite 180
Spring, TX 77388
Phone (281) 972-2079

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
I20110425000267 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183620347 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1170TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Cardiovascular Center PLLC Interventional Cardiology CurrentSince Mar 24, 2011 Accepting new patients
Redoak Cardiovascular Center, PA Interventional Cardiology PastSince Dec 5, 2005 Accepting new patients
Integral Gastroenterology Center, P.a. Past Accepting new patients

Locations

2950 FM 2920 Rd
Ste 180
Spring, TX 77388
Phone (281) 880-4887

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1720008451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 FM 2920 ROAD",
            "address_2": "SUITE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-972-2079",
            "fax_number": "281-972-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 FM 2920 ROAD",
            "address_2": "SUITE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-972-2079",
            "fax_number": "281-972-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "METRAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.