DR. SURENDAR GAJENDRA RAO M.D.
NPI 1134450869
General Practice in Palm Beach Gardens, FL

Q: What is Surendar Rao's NPI number?

The NPI number for Surendar Rao is 1134450869. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Q: What is Surendar Rao's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Surendar Rao was last updated on October 20, 2020. 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.

Active since January 20, 2010PECOS Enrolled

3345 BURNS RD STE 302, PALM BEACH GARDENS, FL 33410(561) 622-7661(561) 622-4651 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Jun 25, 2018, Mar 19, 2018 and 2 more (5 updates tracked since 2016).

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About Dr. Surendar Gajendra Rao M.d. NPPES

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

DR. SURENDAR GAJENDRA RAO M.D. (NPI 1134450869) is an individual general practice provider in Palm Beach Gardens, Florida, licensed in Florida (ME136965) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134450869

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. SURENDAR GAJENDRA RAOCredential: M.D.

Location Address3345 BURNS RD STE 302Palm Beach Gardens, FL 33410-4321

Mailing Address14750 Nw 77th Ct Ste 100Miami Lakes, FL 33016-1507 · (786) 758-3152 · Fax (786) 441-2156

Phone(561) 622-7661

Fax(561) 622-4651

Sole ProprietorNo

Enumeration DateJanuary 20, 2010

Last NPPES UpdateOctober 20, 20205 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1134450869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ME136965✔ Licensed in FL · ACN702

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 62640-20 (WI), EP10034290 (TX)

3345 BURNS RD STE 302, Palm Beach Gardens, FL 33410

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Surendar Gajendra Rao M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. CECILIA A BUSTAMANTE PA

Physician Assistant