Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KRISHNA A RAO M.D.
NPI 1235128109
Internal Medicine - Hematology & Oncology in Springfield, IL

Active since October 13, 2005PECOS Enrolled
415 N 9TH ST, SPRINGFIELD, IL 62702(217) 545-5817(217) 545-7021 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Krishna A Rao M.d. NPPES

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

KRISHNA A RAO M.D. (NPI 1235128109) is an individual hematology & oncology provider in Springfield, Illinois and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1991).

NPPES Registry Identity

NPI1235128109
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKRISHNA A RAOCredential: M.D.
Location Address415 N 9TH STSpringfield, IL 62702-5317
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7578 · Fax (217) 545-1884
Fax(217) 545-7021
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1991
Enumeration DateOctober 13, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1235128109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

415 N 9TH ST, Springfield, IL 62702

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

Krishna A 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 ID9739219569
PECOS Enrollment IDI20100604000758
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 20

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
11,220 services15 patients
Injection, ondansetron hydrochloride, per 1 mg J2405
Ondansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.
696 services22 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
556 services22 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.
121 services91 patients
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.
114 services76 patients
Injection of additional new drug or substance into vein 96375
This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
101 services23 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims7,070 services$0.25 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 20

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

Obstetrics & Gynecology
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Obstetrics & Gynecology (Obstetrics)
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Nutritionist (Nutrition, Education)
415 N 9TH ST, STE 6W162
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
415 N 9TH ST, 6TH FLOOR
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST
SPRINGFIELD, IL 62702
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Internal Medicine (Hematology & Oncology)
415 N 9TH ST, 2W106
SPRINGFIELD, IL 62702

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 Krishna Rao's NPI number?

The NPI number for Krishna Rao is 1235128109. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Krishna Rao located?

Krishna Rao practices at 415 N 9th St, Springfield, IL 62702. The listed phone number is (217) 545-5817.

What is Krishna Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Krishna Rao enrolled in Medicare?

Yes. Krishna 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 Krishna Rao affiliated with any hospitals?

According to CMS data, Krishna Rao is affiliated with St Johns Hospital, Memorial Medical Center, Community Hospital Of Staunton, Carlinville Area Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

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