MIRA SUNDAR RAO
NPI 1205579257
Hospitalist in Chicago, IL

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
1620 W HARRISON ST, CHICAGO, IL 60612(312) 942-4200 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2025, Apr 18, 2022 (2 updates tracked since 2022).

About Mira Sundar Rao NPPES

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

MIRA SUNDAR RAO (NPI 1205579257) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036175788) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2022).

NPPES Registry Identity

NPI1205579257
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMIRA SUNDAR RAO
Location Address1620 W HARRISON STChicago, IL 60612-3801
Mailing Address1620 W Harrison StChicago, IL 60612-3801 · (312) 942-4200
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2022
Enumeration DateApril 18, 2022
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1205579257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036175788
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036175788 (IL)
1620 W HARRISON ST, Chicago, IL 60612

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

Mira Sundar Rao 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 ID2961886932
PECOS Enrollment IDI20250715002756
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.

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Radiology (Vascular & Interventional Radiology)
1620 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology
1620 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Nurse Practitioner (Gerontology)
1620 W HARRISON ST
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Registered Nurse
1620 W HARRISON ST
CHICAGO, IL 60612
Occupational Therapist
1620 W HARRISON ST
CHICAGO, IL 60612

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 Mira Sundar Rao's NPI number?

The NPI number for Mira Sundar Rao is 1205579257. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Mira Sundar Rao located?

Mira Sundar Rao practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-4200.

What is Mira Sundar Rao's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mira Sundar Rao enrolled in Medicare?

Yes. Mira Sundar 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.

Is Mira Sundar Rao affiliated with any hospitals?

According to CMS data, Mira Sundar Rao is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Mira Sundar Rao was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.