Individual provider Active NPI

Peter M Rao, MD

  • Interventional Cardiology Physician
  • Dothan, AL
National Provider Identifier
1932250339
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036117381 Issued in IL
Practice address
118 Obrannan Park Dr
Dothan, AL 36303-2052
Phone
(334) 305-2800
Fax
(866) 554-1248
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29578 AL
Internal Medicine Physician 207R00000X 2006024375 MO
Interventional Cardiology Physician 207RI0011X 036117381 IL Primary

Addresses

Primary practice location

118 Obrannan Park Dr
Dothan, AL 36303-2052

Mailing address

118 Obrannan Park Dr
Dothan, AL 36303-2052
Phone (334) 305-2800

Other practice location 1

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone (618) 233-3066

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090708000053 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810048667 Reassigns benefits to 2 organizations
I20250530000281 IL Practitioner - Interventional Cardiology 7810048667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Rao Heart and Vascular LLCGroup PAC ID 1557769726, 7 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

200 Medical Care Way
Dothan, AL 36303-7013
Phone (334) 305-2800

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4600 Memorial Dr
Belleville, IL 62226-5359

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006024375MOMDInternal Medicine Physician
036117381ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC Current Accepting new patients
Rao Heart & Vascular LLC Cardiovascular Disease CurrentSince Aug 1, 2021 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Dec 3, 2017 Accepting new patients
Cardiac Imaging Inc CurrentSince May 1, 2024 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jun 16, 2025 Accepting new patients
Medvision, L.L.C. CurrentSince Dec 1, 2021 Accepting new patients
Southeastern Dermatology Group PA PastSince Apr 28, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

845 W Bypass
Ste D
Andalusia, AL 36420
Phone (334) 305-2800

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

112 Haven Dr
Ste 1
Dothan, AL 36301
Phone (334) 673-0049

200 Medical Care Way
Dothan, AL 36303
Phone (334) 305-2800

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGFCD

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1932250339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 OBRANNAN PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032052",
            "telephone_number": "334-305-2800",
            "fax_number": "866-554-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 OBRANNAN PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032052",
            "telephone_number": "334-305-2800",
            "fax_number": "866-554-1248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Memorial Dr Ste W1",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265359",
            "country_code": "US",
            "telephone_number": "618-233-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "29578",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006024375",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036117381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.