Individual provider Active NPI

Vikram K. Rao, MD

  • Vascular Surgery Physician
  • Willoughby, OH
National Provider Identifier
1881637825
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35087084 Issued in OH
Practice address
36445 Biltmore PL Ste a
Willoughby, OH 44094-8228
Phone
(440) 269-8346
Fax
(440) 975-5763
NPI assigned
Jun 14, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35087084 OH Primary

Addresses

Primary practice location

36445 Biltmore PL Ste a
Willoughby, OH 44094-8228

Mailing address

PO Box 1086
Willoughby, OH 44096-1086
Phone (440) 269-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051205000698 OH Practitioner - Vascular Surgery 9830119841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

272 Hospital Rd
Suite 115
Chillicothe, OH 45601-9031
Phone (740) 779-4360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22
Leg revascularization (restoring blood flow)33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087084OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Cleveland, LLC Vascular Surgery CurrentSince Mar 15, 2023 Accepting new patients
Outreach Professional Services, Inc CurrentSince Apr 1, 2019 Accepting new patients
Outreach Professional Services Inc CurrentSince Apr 1, 2019 Accepting new patients
Adena Medical Group LLC CurrentSince Jun 1, 2024 Accepting new patients
Adena Health System Past Accepting new patients

Locations

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

272 Hospital Rd
Ste 115
Chillicothe, OH 45601
Phone (740) 779-4360

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

12575 Rockside Rd
Ste 102
Garfield Hts, OH 44125
Phone (216) 365-9700

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

36060 Euclid Ave
Ste 107
Willoughby, OH 44094
Phone (440) 269-8346

Interoperability endpoints

  • Direct secure messaging: vrao1161505@direct.osumc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1881637825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440961086",
            "telephone_number": "440-269-8346",
            "fax_number": "440-975-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36445 BILTMORE PL STE A",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948228",
            "telephone_number": "440-269-8346",
            "fax_number": "440-975-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "VIKRAM",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35087084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.