SURYA PRAKASH RAO MD
NPI 1114975596
Internal Medicine - Cardiovascular Disease in Edgewater, FL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
66.24/100
CMS Quality Rating
1404 S RIDGEWOOD AVE, EDGEWATER, FL 32132(386) 258-8722(386) 265-5928 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jun 15, 2020, Dec 7, 2017 (3 updates tracked since 2017).

About Surya Prakash Rao Md NPPES

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

SURYA PRAKASH RAO MD (NPI 1114975596) is an individual cardiovascular disease provider in Edgewater, Florida, licensed in Florida (ME96830) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains a secondary practice location in Port Orange.

NPPES Registry Identity

NPI1114975596
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSURYA PRAKASH RAOCredential: MD
Location Address1404 S RIDGEWOOD AVEEdgewater, FL 32132-2720
Mailing Address695 N Clyde Morris BlvdDaytona Beach, FL 32114-2321 · (386) 258-8722 · Fax (386) 258-9443
Fax(386) 265-5928
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1992
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1114975596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME96830
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License ME96830 (FL)
1404 S RIDGEWOOD AVE, Edgewater, FL 32132

Secondary Practice Location 1

Location 1780 Dunlawton Ave Ste 101Port Orange, FL 32127-4252 · Phone (386) 265-5926 · Fax (386) 265-5928

Other Identifiers 2

Other94219FL · Bc/bs
Medicaid281152900FL

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

Surya Prakash Rao Md 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 ID7810946662
PECOS Enrollment IDI20070208000602
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 42

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,189 services895 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.
1,085 services743 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,083 services853 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
564 services141 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.
499 services193 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.
331 services284 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32132 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

66.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.13
Promoting Interoperability100
Improvement Activities20
Cost34.36

Other Providers at the Same Location NPPES 5

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

Family Medicine
1404 S RIDGEWOOD AVE
EDGEWATER, FL 32132
Family Medicine
1404 S RIDGEWOOD AVE
EDGEWATER, FL 32132
Family Medicine
1404 S RIDGEWOOD AVE
EDGEWATER, FL 32132
Internal Medicine (Cardiovascular Disease)
1404 S RIDGEWOOD AVE
EDGEWATER, FL 32132
Physician Assistant
1404 S RIDGEWOOD AVE
EDGEWATER, FL 32132

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 Surya Rao's NPI number?

The NPI number for Surya Rao is 1114975596. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Surya Rao located?

Surya Rao practices at 1404 S Ridgewood Ave, Edgewater, FL 32132. The listed phone number is (386) 258-8722.

What is Surya Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Surya Rao enrolled in Medicare?

Yes. Surya 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 Surya Rao accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 3 other insurers list Surya 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 Surya Rao affiliated with any hospitals?

According to CMS data, Surya Rao is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Adventhealth Deland and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Surya Rao was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.