Active NPI
Qin Rao
- Gastroenterology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 298023-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH72715H | Medicaid | NY |
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
Enrollment records 1
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
Practice addresses (Care Compare)
55 W 17TH St
New York, NY 10011-5513
Phone (212) 427-8761
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298023-01 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Gastroenterology P.C. | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- New York, NY
- NPI 1922396472
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.