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DR. SHEILA RAO MD
NPI 1174521538
Pediatrics in Bloomfield Hills, MI

Active since July 11, 2005PECOS Enrolled
43205 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302(248) 451-0600(313) 561-0277 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Mar 23, 2021 (2 updates tracked since 2021).

About Dr. Sheila Rao Md NPPES

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

DR. SHEILA RAO MD (NPI 1174521538) is an individual pediatrics provider in Bloomfield Hills, Michigan, licensed in Michigan (4301077730) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174521538
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHEILA RAOCredential: MD
Location Address43205 WOODWARD AVEBloomfield Hills, MI 48302-5006
Mailing Address20225 E 9 Mile Rd, Ste ASaint Clair Shores, MI 48080-1700 · (586) 772-1090 · Fax (586) 772-4366
Phone(248) 451-0600
Fax(313) 561-0277
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1174521538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301077730
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
43205 WOODWARD AVE, Bloomfield Hills, MI 48302
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Other Identifiers 1

Medicaid4698197MI

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sheila Rao Md 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 Sheila Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Cornerstone Medical Group
16 mi
Family Medicine
43900 GARFIELD RD STE 222
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
NPI 1851765374 (586) 286-0050

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48302 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

KATHLEEN MARIE ASMAR DNP, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
43205 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 451-0600
DR. SONJA M EARLES MD
Pediatrics
43205 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 451-0600
DR. MAUREEN A KELLY MD
Pediatrics
43205 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 451-0600
MAUREEN A KELLY MD PLLC
Pediatrics (Adolescent Medicine)
43205 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 451-0600
DR. JENNIFER GRAY CASTRO D.O
Pediatrics
43205 WOODWARD AVE
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 451-0600

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 Sheila Rao's NPI number?

The NPI number for Sheila Rao is 1174521538. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Sheila Rao located?

Sheila Rao practices at 43205 Woodward Ave, Bloomfield Hills, MI 48302. The listed phone number is (248) 451-0600.

What is Sheila Rao's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sheila Rao enrolled in Medicare?

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

Which organization bills Medicare for Sheila Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Rao reassigns Medicare benefits to Henry Ford Cornerstone Medical Group (Clinton Township, MI). 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 Sheila Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Rao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Sheila 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.

When was this NPI record last updated?

The NPPES record for Sheila Rao was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.