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SHELDON RAO
NPI 1063934354
Internal Medicine - Pulmonary Disease in El Paso, TX

Active since July 09, 2017PECOS EnrolledAccepts Medicare Assignment
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5200(915) 215-8640 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Jul 9, 2017 (2 updates tracked since 2017).

About Sheldon Rao NPPES

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

SHELDON RAO (NPI 1063934354) is an individual pulmonary disease provider in El Paso, Texas, licensed in Texas (U3630) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1063934354
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSHELDON RAO
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address440 Raynolds St # 51015El Paso, TX 79905-1613 · (915) 215-4480 · Fax (915) 215-5386
Phone(915) 215-5200
Fax(915) 215-8640
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 9, 2017
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1063934354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · U3630
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License U3630 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4801 ALBERTA AVE, El Paso, TX 79905
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Secondary Practice Location 1

Location 1320 E North AvePittsburgh, PA 15212-4756 · Phone (412) 359-4971

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.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

Sheldon Rao 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 ID244598746
PECOS Enrollment IDI20230829002159
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
128 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
DR. AMRO ALI YASSIN-AWAD MD
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4625
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600

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 Sheldon Rao's NPI number?

The NPI number for Sheldon Rao is 1063934354. It was assigned to this individual provider in the NPPES registry on July 9, 2017.

Where is Sheldon Rao located?

Sheldon Rao practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-5200.

What is Sheldon Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sheldon Rao enrolled in Medicare?

Yes. Sheldon 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 Sheldon Rao accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list Sheldon 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 Sheldon Rao affiliated with any hospitals?

According to CMS data, Sheldon Rao is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Sheldon Rao was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.