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DR. RAJANI RAO M.D
NPI 1184875593
Internal Medicine in Plano, TX

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
2237 W PARKER RD, STE D, PLANO, TX 75023(469) 331-9989 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rajani Rao M.d NPPES

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

DR. RAJANI RAO M.D (NPI 1184875593) is an individual internal medicine provider in Plano, Texas, licensed in Texas (P6251) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1184875593
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAJANI RAOCredential: M.D
Location Address2237 W PARKER RD, STE DPlano, TX 75023-7800
Mailing Address2237 W Parker Rd, Ste DPlano, TX 75023-7800 · (469) 331-9989
Phone(469) 331-9989
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 3, 2008
Last NPPES UpdateNovember 28, 2018
✔ NPI 1184875593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · P6251✔ Licensed in NJ · 25MA08455000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2237 W PARKER RD, Plano, TX 75023
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Other Identifiers 1

Medicaid218855NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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. Rajani 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 ID7214098086
PECOS Enrollment IDI20140512001004
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 5

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.

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.
131 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
81 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75023 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
23%131 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$15.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$66.54 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 5

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

CHIROPRACTIC SOLUTIONS
Chiropractor (Independent Medical Examiner)
2237 W PARKER RD, SUITE F
PLANO, TX 75023
Collin County (972) 943-9355
BACK RESTORATION AND WELLNESS
Clinic/Center (Pain)
2237 W PARKER RD, SUITE F
PLANO, TX 75023
Collin County (972) 943-9355
DR. ROBERT FREDERICK SHIELDS D.O.
Family Medicine
2237 W PARKER RD, SUITE D
PLANO, TX 75023
Collin County (972) 596-5303
WOMEN IN PINK
Prosthetic/Orthotic Supplier
2237 W PARKER RD
PLANO, TX 75023
Collin County (214) 545-4764
DR. LAURA BETH PRECOURT D. C.
Chiropractor (Independent Medical Examiner)
2237 W PARKER RD, SUITE F
PLANO, TX 75023
Collin County (972) 943-9355

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 Rajani Rao's NPI number?

The NPI number for Rajani Rao is 1184875593. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Rajani Rao located?

Rajani Rao practices at 2237 W Parker Rd Ste D, Plano, TX 75023. The listed phone number is (469) 331-9989.

What is Rajani Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajani Rao enrolled in Medicare?

Yes. Rajani 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 Rajani Rao accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Rajani 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 Rajani Rao affiliated with any hospitals?

According to CMS data, Rajani Rao is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rajani Rao was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.