Active NPI
Ishu V Rao, MD
- Clinical Cardiac Electrophysiology Physician
- Ventura, CA
National Provider Identifier
1992752166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- A68864
- Practice address
- 168 N Brent St
Suite 503
Ventura, CA 93003-2817 - Phone
- (805) 653-0101
- Fax
- (805) 643-6285
- NPI assigned
- May 31, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | K6258 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A68864 | CA | Primary |
Addresses
Primary practice location
168 N Brent St
Suite 503
Ventura, CA 93003-2817
Mailing address
168 N Brent St
Suite 503
Ventura, CA 93003-2817
Phone (805) 653-0101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039302702 | Medicaid | TX | |
| 039302703 | Medicaid | TX | |
| P00147745 | Other | TX | RR MCARE |
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 |
|---|---|---|---|
| A68864 | CA | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Coast Surgery Center | Past | Accepting new patients |
Interoperability endpoints
- ishurao@raoc.allscriptsdirect.net
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.
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1588092605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1992752166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 N BRENT ST",
"address_2": "SUITE 503",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032817",
"telephone_number": "805-653-0101",
"fax_number": "805-643-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N BRENT ST",
"address_2": "SUITE 503",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032817",
"telephone_number": "805-653-0101",
"fax_number": "805-643-6285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "ISHU",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K6258",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A68864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039302702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039302703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "P00147745",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.