Active NPI
Ambika Rao, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Columbia, SC
National Provider Identifier
1962480590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 7327
- Practice address
- 6439 Garners Ferry Road
BLDG 100, Rm5C100B
Columbia, SC 29209-1613 - Phone
- (803) 776-4000
- Fax
- (803) 647-5714
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 7327 | NV | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 34359 | SC |
Addresses
Primary practice location
6439 Garners Ferry Road
BLDG 100, Rm5C100B
Columbia, SC 29209-1613
Mailing address
6439 Garners Ferry Road
WJB Dorn VA Medical Center
Columbia, SC 29209-1613
Phone (803) 776-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100500484 | Medicaid | NV | |
| 343596 | Medicaid | SC | |
| AA86152603 | Other | SC | MEDICARE PTAN |
| 002019560 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7327 | NV | MD | Endocrinology, Diabetes & Metabolism Physician |
| 34359 | SC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Internal Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1144258922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962480590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY ROAD",
"address_2": "WJB DORN VA MEDICAL CENTER",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091613",
"telephone_number": "803-776-4000",
"fax_number": "803-647-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY ROAD",
"address_2": "BLDG 100, RM5C100B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091613",
"telephone_number": "803-776-4000",
"fax_number": "803-647-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "AMBIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NV",
"license": "7327",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "34359",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100500484",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343596",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA86152603",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019560",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.