PRASHANTH RAMAKRISHNA RAO M.D.
NPI 1205006590
Internal Medicine in San Antonio, TX

Q: What is Prashanth Rao's NPI number?

The NPI number for Prashanth Rao is 1205006590. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Q: What is Prashanth Rao's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prashanth Rao was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment

1911 ROGERS RD, SAN ANTONIO, TX 78251(210) 523-9933(210) 647-0242 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Aug 12, 2022 (2 updates tracked since 2022).

On this page

About Prashanth Ramakrishna Rao M.d. NPPES

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

PRASHANTH RAMAKRISHNA RAO M.D. (NPI 1205006590) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (N2258) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1205006590

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePRASHANTH RAMAKRISHNA RAOCredential: M.D.

Location Address1911 ROGERS RDSan Antonio, TX 78251-4614

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (210) 523-9933 · Fax (210) 647-0242

Phone(210) 523-9933

Fax(210) 647-0242

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 3, 2008

Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1205006590 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 · N2258✔ Licensed in IL · 125-049185✔ Licensed in AZ · 40841

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.

1911 ROGERS RD, San Antonio, TX 78251

Open in Google Maps ↗

Secondary Practice Location 1

Location 1122 Saint Cloud RdSan Antonio, TX 78228-5009 · Phone (726) 240-6949 · Fax (210) 761-3397

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., 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

Prashanth Ramakrishna 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 ID1355409947

PECOS Enrollment IDI20130808000264

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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…

100%302 patients5/55-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.

Other Providers at the Same Location NPPES 6

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

JERRY BURRIS FNP

Nurse Practitioner (Family)