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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Surendar Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Ihs Phoenix Area
2,092 mi
Critical Access
12033 AGENCY RD
Parker, AZ 85344
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1851678585 (928) 669-2137

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

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
3345 BURNS RD STE 302
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-7661
MS. NUSHEEN KHAN APRN
Nurse Practitioner (Family)
3345 BURNS RD STE 302
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-7661
ROMEL A. ARJONA M.D
Internal Medicine
3345 BURNS RD STE 302
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-7661
DR. RANDALL MARK TAUBMAN
Internal Medicine
3345 BURNS RD STE 302
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-7661
LAURIE CANASI APRN
Nurse Practitioner
3345 BURNS RD STE 302
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-7661

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 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.

Where is Surendar Rao located?

Surendar Rao practices at 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410. The listed phone number is (561) 622-7661.

What is Surendar Rao's specialty?

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

Is Surendar Rao enrolled in Medicare?

Yes. Surendar Rao is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Surendar Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Surendar Rao reassigns Medicare benefits to Dhhs Ihs Phoenix Area (Parker, AZ). The 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 Surendar 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 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 6 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.