Individual provider Active NPI

Gautam Rao, DO

  • Vascular & Interventional Radiology Physician
  • San Antonio, TX
National Provider Identifier
1962934547
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
S1898 Issued in TX
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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
I20230721001870 TX Practitioner - Interventional Radiology 7810264355 Reassigns benefits to 8 organizations
I20231005003624 AZ Practitioner - Interventional Radiology 7810264355 Reassigns benefits to 1 organization

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
Hospital Specialist Solutions LLCGroup PAC ID 3476040247, 31 clinicians
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010219AZMDVascular & Interventional Radiology Physician
S1898TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince Sep 1, 2023 Accepting new patients
Artery and Vein Specialists of America, PLLC Vascular & Interventional Radiology CurrentSince Sep 15, 2023 Accepting new patients
Vascular Institute Texas, PLLC CurrentSince Aug 15, 2023 Accepting new patients
Singleton Associates PA Vascular & Interventional Radiology CurrentSince Feb 19, 2024 Accepting new patients
Shi Specialists LLC CurrentSince Jun 28, 2025 Accepting new patients
Hospital Specialist Solutions, LLC CurrentSince Nov 1, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Gebito Medical PastSince Apr 9, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.