NPIMap

Individual provider Active NPI

Sandeep C. Rao, M.D.

  • Internal Medicine Physician
  • Perryville, MO
National Provider Identifier
1922327790
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014038743 Issued in MO
Practice address
212 Hospital LN Ste 202
Perryville, MO 63775-4204
Phone
(573) 768-3239
NPI assigned
May 19, 2010
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014038743 MO Primary

Addresses

Primary practice location

212 Hospital LN Ste 202
Perryville, MO 63775-4204

Mailing address

1239 Star St
Perryville, MO 63775-1621
Phone (248) 736-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150121001809 MO Practitioner - Internal Medicine 1557685591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as individual
Quality
82.96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients

Locations

212 Hospital Ln
Ste 202
Perryville, MO 63775
Phone (573) 331-3333

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Hospital PerryPerryville, MO, CCN 26Z311 Hospital Corporate Director Oct 1, 2023
Mercy Hospital PerryPerryville, MO, CCN 261311 Hospital Corporate Director Oct 1, 2023
Mercy Hospital Perry - RHC IIIPerryville, MO, CCN 268717 Rural health clinic Corporate Director Oct 1, 2023
Mercy Hospital Perry - RHC IVPerryville, MO, CCN 268763 Rural health clinic Corporate Director Oct 1, 2023
Mercy Hospital Perry - RHC IPerryville, MO, CCN 268592 Rural health clinic Corporate Director Oct 1, 2023
Mercy Hospital Perry - RHC IIPerryville, MO, CCN 268614 Rural health clinic Corporate Director Oct 1, 2023

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1922327790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 STAR ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751621",
            "telephone_number": "248-736-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL LN STE 202",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637754204",
            "telephone_number": "573-768-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SANDEEP",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014038743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

Verify at the official NPI Registry.