MADHUMATHI RAO M.D.
NPI 1083653083
Internal Medicine - Nephrology in Lexington, KY

Q: What is Madhumathi Rao's NPI number?

The NPI number for Madhumathi Rao is 1083653083. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Madhumathi Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Madhumathi Rao was last updated on October 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

800 ROSE ST, LEXINGTON, KY 40536(859) 323-2663 Get Directions Write a Review

NPPES record last updated: October 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Madhumathi Rao M.d. NPPES

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

MADHUMATHI RAO M.D. (NPI 1083653083) is an individual nephrology provider in Lexington, Kentucky, licensed in Kentucky (FL051) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1083653083

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameMADHUMATHI RAOCredential: M.D.

Location Address800 ROSE STLexington, KY 40536-1523

Mailing Address800 Rose StLexington, KY 40536-7001

Phone(859) 323-2663

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateJune 5, 2006

Last NPPES UpdateOctober 7, 2017

✔ NPI 1083653083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in KY · FL051

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License FL051 (KY)

800 ROSE ST, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Madhumathi 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 ID1557369568

PECOS Enrollment IDI20171120003007

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 12

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.

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

298 services298 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.

184 services148 patients

Interpretation of trabecular bone score (tbs) and report on fracture risk 77092

The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.

135 services135 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

101 services76 patients

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085

A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.

72 services72 patients

Fracture assessment of spine bones using dxa 77086

Fracture assessment of spine bones using DXA is a non-invasive test to measure bone density. It helps in detecting weak bones early, even before a fracture occurs. The procedure is painless, similar to having an X-ray.

52 services52 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

48 services44 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.

46 services46 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.

34 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

17 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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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.

DR. JEREMY WAYNE THACKER M.D.

Radiology (Diagnostic Radiology)

800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536

Fayette County (859) 257-4457

DR. KIRK PHILLIP HEITMAN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

800 ROSE ST, MS117
LEXINGTON, KY 40536

Fayette County (859) 257-1446

HARISH RAM MD

Anesthesiology

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MS. YVONNE P RICE APRN NP-C

Nurse Practitioner (Family)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 218-1779

VANESSA D. SMITH MD

Pathology (Anatomic Pathology)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6183

JASMINE HOWARD APRN

Nurse Practitioner (Acute Care)

800 ROSE ST, MN604
LEXINGTON, KY 40536

Fayette County (859) 323-6047

MITCHELL ALEXANDER MIGUEL M.D.

Hospitalist

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6047

LEAH RAY YEAGER APRN

Nurse Practitioner (Family)

800 ROSE ST, CC417
LEXINGTON, KY 40536

Fayette County (859) 257-1223

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 Madhumathi Rao's NPI number?

The NPI number for Madhumathi Rao is 1083653083. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Madhumathi Rao located?

Madhumathi Rao practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-2663.

What is Madhumathi Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Madhumathi Rao enrolled in Medicare?

Yes. Madhumathi 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 Madhumathi Rao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Madhumathi 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 Madhumathi Rao affiliated with any hospitals?

According to CMS data, Madhumathi Rao is affiliated with King's Daughters' Medical Center, Pikeville Medical Center, Ephraim Mcdowell Regional Medical Center, Baptist Health Richmond and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Madhumathi Rao was last updated on October 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.