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SUNIL P RAO MD
NPI 1285847996
Hospitalist in Cincinnati, OH

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
82.45/100
CMS Quality Rating
375 DIXMYTH AVE, CINCINNATI, OH 45220(513) 872-3452(513) 872-3421 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sunil P Rao Md NPPES

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

SUNIL P RAO MD (NPI 1285847996) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35071153) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1285847996
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSUNIL P RAOCredential: MD
Location Address375 DIXMYTH AVECincinnati, OH 45220-2475
Mailing AddressPo Box 636799Cincinnati, OH 45263-0001 · (513) 872-3452 · Fax (513) 872-3421
Phone(513) 872-3452
Fax(513) 872-3421
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 8, 2007
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1285847996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in OH · 35071153✔ Licensed in NM · MD2015-0672
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.
375 DIXMYTH AVE, Cincinnati, OH 45220
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-2000

Other Identifiers 2

Medicaid200195320IN
Medicaid2048395OH

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

Sunil P Rao Md 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 ID7416856950
PECOS Enrollment IDI20190813003763
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

2

Medicare enrollment records show Sunil Rao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tennessee PC
20 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Kentucky enrollment
  • 106 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
San Juan Regional Medical Center Inc
1,288 mi
Family Medicine
120 LLANO ST
Aztec, NM 87410
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
NPI 1861467433 (505) 334-3404

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 4

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.
315 services135 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.
61 services61 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.
31 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services17 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$41.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers55 claims55 services$15.72 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$881.25 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
3 suppliers63 claims63 services$76.56 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$16.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 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.

ERYNNE HAMILTON ARPN
Nurse Practitioner (Neonatal)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-2514
VICTORIA ELIZABETH SIMON MD
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562
JACOB CANNAN
Pharmacist (Critical Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
MR. CASEY MCCONNELL GILMORE PA-C
Physician Assistant
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220
Hamilton County (513) 862-2989
ABIGAIL FAITH SOUTHALL APRN, AGACNP
Nurse Practitioner (Acute Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
JAMES M MERANUS MD
Radiology (Diagnostic Radiology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 965-8041
DR. COLLIN MICHAEL HERMAN MD
Psychiatry & Neurology (Neurology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 865-2246
CHASE GREEN DO
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562

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 Sunil Rao's NPI number?

The NPI number for Sunil Rao is 1285847996. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Sunil Rao located?

Sunil Rao practices at 375 Dixmyth Ave, Cincinnati, OH 45220. The listed phone number is (513) 872-3452.

What is Sunil Rao's specialty?

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

Is Sunil Rao enrolled in Medicare?

Yes. Sunil 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 Sunil Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Rao reassigns Medicare benefits to 2 organizations: Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN) and San Juan Regional Medical Center Inc (Aztec, NM). 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 Sunil Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sunil Rao affiliated with any hospitals?

According to CMS data, Sunil Rao is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Sunil Rao was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.