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SOUMYA G RAO M.D.
NPI 1033388616
Internal Medicine - Rheumatology in Poway, CA

Active since February 27, 2008PECOS EnrolledAccepts Medicare Assignment
80.15/100
CMS Quality Rating
15611 POMERADO RD, 4TH FLOOR, POWAY, CA 92064(858) 675-3150(858) 613-2941 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Soumya G Rao M.d. NPPES

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

SOUMYA G RAO M.D. (NPI 1033388616) is an individual rheumatology provider in Poway, California, licensed in California (A99911) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1033388616
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSOUMYA G RAOCredential: M.D.
Location Address15611 POMERADO RD, 4TH FLOORPoway, CA 92064-2437
Mailing Address15611 Pomerado Rd, 4th FloorPoway, CA 92064-2437 · (858) 675-3150 · Fax (858) 613-2941
Phone(858) 675-3150
Fax(858) 613-2941
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 27, 2008
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1033388616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · A99911
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
15611 POMERADO RD, Poway, CA 92064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soumya G 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 ID9436283793
PECOS Enrollment IDI20100823000570
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.

Medicare Billing Reassignment

Medicare enrollment records show Soumya Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arch Health Partners, Inc
0.2 mi
Family Medicine
15611 POMERADO RD, SUITE 400
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 144 clinicians in this Medicare group
NPI 1649500141 (858) 675-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,780 services46 patients
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.
568 services252 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
108 services53 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.
54 services45 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.
46 services46 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
43 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92064 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality69.01
Promoting Interoperability76
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MS. ANAPATRICIA NAJERA-HIGAREDA MSN, APRN, FNP-BC
Nurse Practitioner (Family)
15611 POMERADO RD
POWAY, CA 92064
San Diego County (858) 675-3100
LOUIS MALETZ MD
Family Medicine
15611 POMERADO RD
POWAY, CA 92064
San Diego County (858) 675-3100
SONAL KHATTRI MD
Pediatrics
15611 POMERADO RD, SUITE 400
POWAY, CA 92064
San Diego County (858) 675-3170
CHERYL LYNNE SHANMUGAM MD
Pediatrics
15611 POMERADO RD
POWAY, CA 92064
San Diego County (858) 675-3100
PAIN ALLEVIA MEDICAL CORPORATION
Pain Medicine (Pain Medicine)
15611 POMERADO RD, SUITE 525
POWAY, CA 92064
San Diego County (858) 613-6252
LIONEL JOSEPH XAVIER MD
Family Medicine
15611 POMERADO RD
POWAY, CA 92064
San Diego County (858) 675-3100
ALLISON FLOYD DNP, FNP-BC, AGNP-BC
Nurse Practitioner (Family)
15611 POMERADO RD
POWAY, CA 92064
San Diego County (858) 675-3200
STUART NATHAN GRAHAM MD
Pediatrics
15611 POMERADO RD
POWAY, CA 92064
San Diego County (858) 675-3100

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 Soumya Rao's NPI number?

The NPI number for Soumya Rao is 1033388616. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Soumya Rao located?

Soumya Rao practices at 15611 Pomerado Rd 4th Floor, Poway, CA 92064. The listed phone number is (858) 675-3150.

What is Soumya Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Soumya Rao enrolled in Medicare?

Yes. Soumya 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.

Which organization bills Medicare for Soumya Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soumya Rao reassigns Medicare benefits to Arch Health Partners, Inc (Poway, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soumya Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Soumya Rao was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.