Active NPI
Sanku S Rao, MD
- Gastroenterology Physician
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 12331
- Practice address
- 330 S 5TH St
Suite 301
Enid, OK 73701-5825 - Phone
- (580) 234-0285
- Fax
- (580) 234-0590
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 12331 | OK | Primary |
Addresses
Primary practice location
330 S 5TH St
Suite 301
Enid, OK 73701-5825
Mailing address
330 S 5TH St
Suite 301
Enid, OK 73701-5825
Phone (580) 234-0285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100014700A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000571 | OK | Practitioner - Gastroenterology | 4082880547 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1969
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
330 S 5TH St
Suite 203
Enid, OK 73701-5861
Hospital & facility affiliations
- St Mary'S Regional Medical Center
- Integris Health Enid Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.64 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 85.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 166 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enid Gastroenterology, Inc., P.C. | Current | Accepting new patients | |
| Uhs of Oklahoma Inc | Past | Accepting new patients | |
| Uhs of Oklahoma, LLC | Past | Accepting new patients |
Locations
330 S 5th St
Ste 203
Enid, OK 73701
Phone (580) 234-0285
330 S 5th St
Ste 301
Enid, OK 73701
Phone (580) 234-0285
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Enid, OK
- NPI 1982795696
-
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
Hospital & facility affiliations 2
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": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1992864086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S 5TH ST",
"address_2": "SUITE 301",
"city": "ENID",
"state": "OK",
"postal_code": "737015825",
"telephone_number": "580-234-0285",
"fax_number": "580-234-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S 5TH ST",
"address_2": "SUITE 301",
"city": "ENID",
"state": "OK",
"postal_code": "737015825",
"telephone_number": "580-234-0285",
"fax_number": "580-234-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "SANKU",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "12331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100014700A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.