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DR. ARUNDATHI RAO M.D.
NPI 1174796825
Surgery in Sarasota, FL

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
5880 RAND BLVD STE 101, SARASOTA, FL 34238(941) 917-4753(941) 917-4752 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Arundathi Rao M.d. NPPES

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

DR. ARUNDATHI RAO M.D. (NPI 1174796825) is an individual surgery provider in Sarasota, Florida, licensed in Florida (ME102122) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1174796825
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ARUNDATHI RAOCredential: M.D.
Location Address5880 RAND BLVD STE 101Sarasota, FL 34238-5118
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 917-4753
Fax(941) 917-4752
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 2, 2008
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1174796825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME102122
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5880 RAND BLVD STE 101, Sarasota, FL 34238
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Other Identifiers 5

Other9824208FL · Aetna
Other322668FL · Avmed
Other68374FL · Blue Shield Of Florida
Other2936165FL · Cigna
Medicaid000195400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Arundathi Rao M.d. 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 ID4284794884
PECOS Enrollment IDI20081126000316
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 Reassignments

5

Medicare enrollment records show Arundathi Rao reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smh Physician Services Inc
5.6 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720
Innovative Wound Care Associates, LLC
45 mi
Surgery
3051 TECH DR N STE 100
Saint Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
NPI 1063392595 (855) 819-6863
Suncoast Brain Balance LLC
56 mi
Occupational Therapist
11902 RACE TRACK RD
Tampa, FL 33626
  • Reassigned Medicare billing, Florida enrollment
NPI 1043183890 (813) 749-0872
Pam Physician Enterprise
116 mi
Hospitalist
1730 MAYO DR
Tavares, FL 32778
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1962377929 (352) 525-3001
Nautilus Health Care Group LLC
124 mi
Undersea and Hyperbaric Medicine
250 N WICKHAM RD
Melbourne, FL 32935
  • Reassigned Medicare billing, Florida enrollment
  • 123 clinicians in this Medicare group
NPI 1912013558 (321) 676-2012

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

Areas of Expertise CMS Part B claims 2

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.

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.
24 services24 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34238 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

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 Arundathi Rao's NPI number?

The NPI number for Arundathi Rao is 1174796825. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Arundathi Rao located?

Arundathi Rao practices at 5880 Rand Blvd Ste 101, Sarasota, FL 34238. The listed phone number is (941) 917-4753.

What is Arundathi Rao's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Arundathi Rao enrolled in Medicare?

Yes. Arundathi 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.

Which organizations bill Medicare for Arundathi Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arundathi Rao reassigns Medicare benefits to 5 organizations: Smh Physician Services Inc (Sarasota, FL), Innovative Wound Care Associates, LLC (Saint Petersburg, FL), Suncoast Brain Balance LLC (Tampa, FL), Pam Physician Enterprise (Tavares, FL) and Nautilus Health Care Group LLC (Melbourne, FL). Each 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 Arundathi Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arundathi Rao accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Arundathi 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 Arundathi Rao affiliated with any hospitals?

According to CMS data, Arundathi Rao is affiliated with Sarasota Memorial Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Arundathi Rao was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.