Gadam M Rao, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K1634 Issued in TX

Practice address

1718 10TH St
Wichita Falls, TX 76301-5053

Phone

(940) 761-2229

Fax

(940) 761-2220

NPI assigned

Jun 15, 2006

Last updated

Nov 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gadamrao@dgmr.allscriptsdirect.net
• Direct secure messaging: grao14536@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

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.

• Gadam M. Rao,MD,PA

  • Pediatrics Physician
  • Wichita Falls, TX
  • NPI 1164516183
  NPD (past) Authorized official
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD
• North Central Texas Community Health Care Center, Inc

  dba Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1871537431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4289",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080289",
            "telephone_number": "940-761-2229",
            "fax_number": "940-761-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015053",
            "telephone_number": "940-761-2229",
            "fax_number": "940-761-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "GADAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL ASSOCIATION",
            "identifier": "200532013",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092131401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0048AR",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8AJ053",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092131402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie Ramsey, LCSW
• Talha Javed Ramzan, DO
• Priyadarshini S Ranbhise, MD
• Aashritha Ranganatha Hemmige, MD
• Wilma Ranieri, BCABA
• Sandra Rapson, BA
• Mary K Rarick, COTA
• Reda G Rasco, PSY. D.
• Andrea Rath
• Kimberly D'Anne Ravelo, AU.D.

• Pediatrics Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.