POOJA DIPAK RAO M.D.
NPI 1013352376
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tulsa, OK

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment
4720 S HARVARD AVE STE 100, TULSA, OK 74135(918) 403-4120(918) 856-5058 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Sep 6, 2023, Jul 3, 2023 and 3 more (6 updates tracked since 2016).

About Pooja Dipak Rao M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POOJA DIPAK RAO M.D. (NPI 1013352376) is an individual endocrinology, diabetes & metabolism provider in Tulsa, Oklahoma, licensed in Oklahoma (41922) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013352376
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePOOJA DIPAK RAOCredential: M.D.
Location Address4720 S HARVARD AVE STE 100Tulsa, OK 74135-3023
Mailing Address10210 S College AveTulsa, OK 74137-8715 · (201) 786-8189
Fax(918) 856-5058
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 30, 2013
Last NPPES UpdateDecember 30, 20246 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1013352376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in OK · 41922 Licensed in VA · 0116028928 Licensed in NC · 2020-04462
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 192229 (NC)
4720 S HARVARD AVE STE 100, Tulsa, OK 74135

Secondary Practice Locations 3

Location 11923 S Utica Ave Fl 4Tulsa, OK 74104-6520 · Phone (918) 748-7650
Location 2Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2255
Location 34100 New Hermitage DrHenrico, VA 23228 · Phone (012) 786-8189

Other Identifiers 1

Other1013352376VA · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pooja Dipak Rao M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345481222
PECOS Enrollment IDI20231115000014
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services143 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
107 services79 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
63 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services40 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
20 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

St John Owasso

Acute Care Hospitals · Owasso, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370227
Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Ascension St John Sapulpa

Critical Access Hospitals · Sapulpa, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371312
Location1004 East BryanSapulpa, OK 74066 · Creek County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers25 claims25 services$182.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Physician Assistant
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pooja Rao's NPI number?

The NPI number for Pooja Rao is 1013352376. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Pooja Rao located?

Pooja Rao practices at 4720 S Harvard Ave Ste 100, Tulsa, OK 74135. The listed phone number is (918) 403-4120.

What is Pooja Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Pooja Rao enrolled in Medicare?

Yes. Pooja Rao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pooja Rao accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Pooja Rao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pooja Rao affiliated with any hospitals?

According to CMS data, Pooja Rao is affiliated with Ascension St John Jane Phillips, Ascension St John Medical Center, St John Owasso, Ascension St John Broken Arrow and Ascension St John Sapulpa.

When was this NPI record last updated?

The NPPES record for Pooja Rao was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.