Sajan Kuchipudi Rao, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME103253 Issued in FL

Practice address

625 9TH St N
Ste 104
Naples, FL 34102-8143

Phone

(239) 963-9788

Fax

(239) 963-9771

NPI assigned

Oct 11, 2007

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Cardiovascular Disease (Cardiology)

Education

George Washington University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naples Concierge Cardiology and Internal Medicine, LLCGroup PAC ID 4880090448, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23972/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9571/brand/1/csg/1/fhir/r4
• Direct secure messaging: sajan.rao.1@23972.direct.athenahealth.com
• Direct secure messaging: sajan.rao.1@9571.direct.athenahealth.com

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.

• Naples Concierge Cardiology and Internal Medicine, LLC

  • Cardiovascular Disease Physician
  • Naples, FL
  • NPI 1063086601
  Medicare reassignment Care Compare group NPD Authorized official
• Swicft Medical Partners LLC

  • Cardiovascular Disease Physician
  • Naples, FL
  • NPI 1609986181
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridges Home Health Inc.

  dba Trilogy Home Healthcare

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1376517862
  Care Compare affiliation
• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Providia Home Care LLC.

  dba Preferred Care Home Health Services

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1851589162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 9TH ST N",
            "address_2": "STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-963-9788",
            "fax_number": "239-963-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH ST N",
            "address_2": "STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341028143",
            "telephone_number": "239-963-9788",
            "fax_number": "239-963-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SAJAN",
        "middle_name": "KUCHIPUDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD034810",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "034810",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME103253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4135342 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00616347",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039095800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851589162",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S Randolph, DDS
• Brittany Lee Ranieri, DO
• Stacie Ranken, LCSW
• Ovidiu Ranta, M.D.
• Kakarala Janardhana Rao, MD,MS(COMM. HEALTH)
• Rapha Home Health Services LLC
• Rapha Wellness Center LLC
• Tracy Ann Raskin, PT, DPT, MSPT
• Derek Rasmussen, DPT, ATC, CSCS
• David Drew Rathbun, D.D.S.

• Cardiovascular Disease Physician in Naples, FL
• Providers in Naples, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.