Individual provider Active NPI

Qin Rao

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1922486125
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
298023-01 Issued in NY
Practice address
55 W 17TH St
New York, NY 10011-5513
Phone
(212) 427-8761
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 298023-01 NY Primary

Addresses

Primary practice location

55 W 17TH St
New York, NY 10011-5513

Mailing address

6940 168TH St
Fresh Meadows, NY 11365-3214
Phone (917) 415-2606

Other practice location 1

Dept Of Medicine
HSC Level 16, SUNY Stony Brook Hospital
Stony Brook, NY 11794-5119
Phone (631) 444-2058

Other identifiers 1

IdentifierTypeStateIssuer
MH72715HMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240715001066 NY Practitioner - Gastroenterology 6204163959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York Downstate Medical Center, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manhattan Gastroenterology PCGroup PAC ID 7719156207, 12 clinicians

Practice addresses (Care Compare)

55 W 17TH St
New York, NY 10011-5513
Phone (212) 427-8761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298023-01NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Gastroenterology P.C. Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients

Locations

121 W 27th St
Ste 504
New York, NY 10001
Phone (212) 427-8761

56 W 45th St
Fl 8
New York, NY 10036
Phone (212) 242-5300

983 Park Ave
Ste 1D
New York, NY 10028
Phone (212) 427-8761

51 E 25th St
Fl 4
New York, NY 10010
Phone (212) 427-8761

Interoperability endpoints

  • Direct secure messaging: qin.rao@manhattansc.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1922486125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 168TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653214",
            "telephone_number": "917-415-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115513",
            "telephone_number": "212-427-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dept Of Medicine",
            "address_2": "HSC Level 16, SUNY Stony Brook Hospital",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117945119",
            "country_code": "US",
            "telephone_number": "631-444-2058",
            "fax_number": "631-444-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "QIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "298023-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH72715H",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.