Raghu N Rao, M.D.
Individual provider Active NPI Internal Medicine Physician · Newberry, MI
NPI 1720148307 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1720148307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301081352 (MI)
- Practice address
- 502 W Harrie St
Newberry, MI 49868-1209 - Phone
- (906) 293-9118
- Fax
- (906) 293-9149
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Helen Newberry Joy Hospital
Practice addresses (Care Compare)
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200
Hospital & facility affiliations
- North Woods Home Nursing
- Helen Newberry Joy Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Helen Newberry Joy Hltcu Golden Leaves Living Ctr |
Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Apr 14, 2016 Mar 5, 2015 May 8, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100828000192 | MI | Practitioner - Internal Medicine | 3274657127 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Newberry Joy Hospital & Healthcare Center | Current |
Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Family Medicine | Current |
Accepting new patients |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Past | Accepting new patients |
Locations
502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131
Interoperability endpoints
- rrao129004@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301081352 | MI | Yes |
Addresses
Primary practice location
502 W Harrie St
Newberry, MI 49868-1209
Mailing address
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4535146 | Medicaid | MI |
Other providers in Newberry, MI
- Pathways Community Mental Heatlh
- Premise Health of Michigan Medical PC
- Pure Family Chiropractic
- Rahilly Chiropractic PLLC
- Jeffrey Rahilly
- Red Pine Run LLC
- Richard G. Boudreau, DC P.C
- Kelsie Marie Richards
- Sault Tribe of Chippewa Indians
- Sault Tribe of Chippewa Indians
All providers in Newberry, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.