Active NPI
Gautam Rao, DO
- Vascular & Interventional Radiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- S1898
- Practice address
- 603 E Amber St Ste 103
San Antonio, TX 78221-2456 - Phone
- (210) 660-5040
- Fax
- (210) 660-5045
- NPI assigned
- Apr 1, 2017
- Last updated
- Oct 3, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | 010219 | AZ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | S1898 | TX | Primary |
Addresses
Primary practice location
603 E Amber St Ste 103
San Antonio, TX 78221-2456
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Other practice location 1
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-3555
Other practice location 2
1919 S Shiloh Rd Ste 400
Garland, TX 75042-8211
Phone (469) 320-1267
Other practice location 3
6036 N 19th Ave Ste 204
Phoenix, AZ 85015-2104
Phone (480) 616-0356
Other practice location 4
600 E Amber St., Ste 107
San Antonio, Texas 78221
AM
Phone (210) 660-5040
Other practice location 5
603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone (210) 660-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Big Hollow LN
Houston, TX 77042-1013
Phone (361) 761-1000
2001 N Oregon St
The Hospitals of Providence Memorial Campus
El Paso, TX 79902-3320
Phone (915) 577-6011
Hospital & facility affiliations
- The Hospitals of Providence - Memorial Campus
- Las Palmas Medical Center a Campus of LPDS Healthc
- Sierra Medical Center
- The Hospitals of Providence Transmountain Campus
- Memorial Hermann Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010219 | AZ | MD | Vascular & Interventional Radiology Physician |
| S1898 | TX | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Radiological Association | Current | Accepting new patients | |
| Artery and Vein Specialists of America, PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Vascular Institute Texas, PLLC | Current | Accepting new patients | |
| Singleton Associates PA | Vascular & Interventional Radiology | Current | Accepting new patients |
| Shi Specialists LLC | Current | Accepting new patients | |
| Hospital Specialist Solutions, LLC | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Gebito Medical | Past | Accepting new patients |
Locations
2222 W Pinnacle Peak Rd
Ste 260
Phoenix, AZ 85027
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505
901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462
1305 Airport Fwy
Ste 103
Bedford, TX 76021
Phone (682) 647-6500
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
1919 S Shiloh Rd
Ste 400
Garland, TX 75042
Phone (855) 247-9873
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
427 W 20th St
Ste 300
Houston, TX 77008
Phone (281) 710-0310
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
600 E Amber St
Ste 107
San Antonio, TX 78221
Phone (210) 343-2649
603 E Amber St
Ste 101
San Antonio, TX 78221
Phone (210) 660-5040
603 E Amber St
Ste 103
San Antonio, TX 78221
Phone (210) 259-5836
1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFGCDD/Endpoint/AFGCDD
Organizations & group practices 11
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.
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1982595856
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Vascular & Interventional Radiology
-
- Vascular & Interventional Radiology Physician
- San Antonio, TX
- NPI 1194340539
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1033196464
-
- Specialist
- Garland, TX
- NPI 1326787524
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1629805221
-
- Diagnostic Radiology Physician
- Weslaco, TX
- NPI 1205774825
-
dba True Precision Medical
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508364860
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1154061703
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Las Palmas del Sol Healthcare
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba The Hospitals of Providence Sierra Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
dba The Hospitals of Providence Transmountain Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1538522412
-
dba The Hospitals of Providence Memorial Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
dba The Hospitals of Providence Sierra Campus
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1962934547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E AMBER ST STE 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782212456",
"telephone_number": "210-660-5040",
"fax_number": "210-660-5045"
}
],
"practiceLocations": [
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-3555",
"fax_number": "210-702-4239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 S Shiloh Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750428211",
"country_code": "US",
"telephone_number": "469-320-1267",
"fax_number": "945-242-8020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6036 N 19th Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152104",
"country_code": "US",
"telephone_number": "480-616-0356",
"fax_number": "480-616-0603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 E Amber St., Ste 107",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "Texas",
"postal_code": "78221",
"country_code": "AM",
"telephone_number": "210-660-5040",
"fax_number": "210-660-5045",
"country_name": "Armenia",
"address_type": "FGN"
},
{
"address_1": "603 E Amber St Ste 101",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782212456",
"country_code": "US",
"telephone_number": "210-660-5040",
"fax_number": "210-660-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAO",
"first_name": "GAUTAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-01",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AZ",
"license": "010219",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "S1898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.