DR. SUNDER R RAO MD
NPI 1164497293
Internal Medicine - Cardiovascular Disease in Butler, PA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
127 ONEIDA VALLEY RD, SUITE 400, BUTLER, PA 16001(866) 620-6761(724) 282-3043 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sunder R Rao Md NPPES

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

DR. SUNDER R RAO MD (NPI 1164497293) is an individual cardiovascular disease provider in Butler, Pennsylvania, licensed in Pennsylvania (MD046955L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1164497293
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUNDER R RAOCredential: MD
Location Address127 ONEIDA VALLEY RD, SUITE 400Butler, PA 16001-2239
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 284-4060 · Fax (724) 284-4144
Fax(724) 282-3043
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 18, 2017
NPI 1164497293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD046955L
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.
127 ONEIDA VALLEY RD, Butler, PA 16001

Other Identifiers 4

Medicare UPINE73505PA
Medicaid011301466PA
Medicare PIN722009SLVPA
Other1445759Highmark Blue Shield

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

Dr. Sunder R 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 ID9537057542
PECOS Enrollment IDI20040310000072
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 19

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.
441 services359 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.
377 services264 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.
204 services197 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
171 services169 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
80 services80 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.
76 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims58 services$1.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Physician Assistant (Medical)
127 ONEIDA VALLEY RD, SUITE 202
BUTLER, PA 16001
Physician Assistant (Medical)
127 ONEIDA VALLEY RD, SUITE 400
BUTLER, PA 16001
Internal Medicine (Endocrinology, Diabetes & Metabolism)
127 ONEIDA VALLEY RD, SUITE 101
BUTLER, PA 16001
Physician Assistant
127 ONEIDA VALLEY RD, SUITE 101
BUTLER, PA 16001
Physician Assistant (Surgical)
127 ONEIDA VALLEY RD
BUTLER, PA 16001
Internal Medicine (Cardiovascular Disease)
127 ONEIDA VALLEY RD, SUITE 202
BUTLER, PA 16001
Internal Medicine (Endocrinology, Diabetes & Metabolism)
127 ONEIDA VALLEY RD, SUITE 101
BUTLER, PA 16001
Physician Assistant (Surgical)
127 ONEIDA VALLEY RD
BUTLER, PA 16001

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 Sunder Rao's NPI number?

The NPI number for Sunder Rao is 1164497293. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Sunder Rao located?

Sunder Rao practices at 127 Oneida Valley Rd Suite 400, Butler, PA 16001. The listed phone number is (866) 620-6761.

What is Sunder Rao's specialty?

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

Is Sunder Rao enrolled in Medicare?

Yes. Sunder 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 Sunder Rao accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sunder 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 Sunder Rao affiliated with any hospitals?

According to CMS data, Sunder Rao is affiliated with Upmc Jameson, Penn Highlands Dubois, Clarion Hospital, Upmc Passavant and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sunder Rao was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.