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ANUPRIYA RAO M.D.
NPI 1033642368
Otolaryngology in Atlanta, GA

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
755 MOUNT VERNON HWY NE STE 370, ATLANTA, GA 30328(404) 252-7368(404) 256-7368 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anupriya Rao M.d. NPPES

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

ANUPRIYA RAO M.D. (NPI 1033642368) is an individual otolaryngology provider in Atlanta, Georgia, licensed in Georgia (92205) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2017).

NPPES Registry Identity

NPI1033642368
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameANUPRIYA RAOCredential: M.D.
Location Address755 MOUNT VERNON HWY NE STE 370Atlanta, GA 30328-4278
Mailing Address755 Mount Vernon Hwy Ne Ste 370Atlanta, GA 30328-4278 · (404) 252-7368 · Fax (404) 256-7368
Phone(404) 252-7368
Fax(404) 256-7368
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1033642368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 92205
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
755 MOUNT VERNON HWY NE STE 370, Atlanta, GA 30328
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Other Names 1

Former Name (1)Anupriya Gangal

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

Anupriya 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 ID1850662552
PECOS Enrollment IDI20220829003075
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 Reassignments

3

Medicare enrollment records show Anupriya Rao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ent Of Georgia, LLC
1.4 mi
Otolaryngology
5673 PEACHTREE DUNWOODY RD, SUITE 150
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1922046424 (404) 297-1780
The Southeast Permanente Medical Group
5.3 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Phoebe Gastroenterology Associates
160 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Anupriya Rao's NPI number?

The NPI number for Anupriya Rao is 1033642368. It was assigned to this individual provider in the NPPES registry on April 4, 2017. The provider is also known as Anupriya Gangal.

Where is Anupriya Rao located?

Anupriya Rao practices at 755 Mount Vernon Hwy NE Ste 370, Atlanta, GA 30328. The listed phone number is (404) 252-7368.

What is Anupriya Rao's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anupriya Rao enrolled in Medicare?

Yes. Anupriya 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 organizations bill Medicare for Anupriya Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anupriya Rao reassigns Medicare benefits to 3 organizations: Ent Of Georgia, LLC (Atlanta, GA), The Southeast Permanente Medical Group (Atlanta, GA) and Phoebe Gastroenterology Associates (Albany, GA). Each 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 Anupriya 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 Anupriya Rao was last updated on July 20, 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.