Individual provider Active NPI

Raju Rao, MD

  • Radiation Oncology Physician
  • Lincoln, NE
National Provider Identifier
1992811376
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
19624 Issued in NE
Practice address
3901 Pine Lake Rd
Suite 111
Lincoln, NE 68516-5497
Phone
(402) 420-7000
Fax
(402) 420-7240
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 19624 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd
Suite 111
Lincoln, NE 68516-5497

Mailing address

201 S 68TH Street PL Ste 200
Lincoln, NE 68510-2496
Phone (402) 420-7000

Other identifiers 2

IdentifierTypeStateIssuer
47079130413MedicaidNE
920001998OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Partners of Nebraska PC CurrentSince Mar 28, 2015 Accepting new patients
Cancer Partners of Nebraska PC Radiation Oncology CurrentSince Mar 28, 2015 Accepting new patients
Nebraska Hematology-Oncology P.C. CurrentSince Jan 16, 2024 Accepting new patients
Nebraska Hematology-Oncology, PC Radiation Oncology CurrentSince Jan 16, 2024 Accepting new patients

Locations

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

201 S 68th Street Pl
Ste 200
Lincoln, NE 68510
Phone (402) 420-7000

3901 Pine Lake Rd
Ste 111
Lincoln, NE 68516
Phone (402) 420-6090

4004 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

8001 Eiger Dr
Lincoln, NE 68516
Phone (402) 904-7135

4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1992811376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 68TH STREET PL STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102496",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 111",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "RAJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NE",
            "license": "19624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079130413",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920001998",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.