DR. KEVIN MICHAEL GOPALA RAO MD
NPI 1356043046
Student in an Organized Health Care Education/Training Program in Boca Raton, FL

Active since March 20, 2023PECOS Enrolled
777 GLADES RD, BOCA RATON, FL 33431(561) 297-4828 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Dr. Kevin Michael Gopala Rao Md NPPES

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

DR. KEVIN MICHAEL GOPALA RAO MD (NPI 1356043046) is an individual student in an organized health care education/training program in Boca Raton, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aventura.

NPPES Registry Identity

NPI1356043046
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN MICHAEL GOPALA RAOCredential: MD
Location Address777 GLADES RDBoca Raton, FL 33431-6496
Mailing Address777 Glades RdBoca Raton, FL 33431-6496 · (561) 297-4828
Sole ProprietorYes
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1356043046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
777 GLADES RD, Boca Raton, FL 33431

Secondary Practice Location 1

Location 120900 Biscayne BlvdAventura, FL 33180-1407 · Phone (954) 408-5756

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kevin Michael Gopala Rao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Specialist/Technologist, Other
777 GLADES RD
BOCA RATON, FL 33431
Nurse Practitioner
777 GLADES RD
BOCA RATON, FL 33431
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Alzheimer Center (Dementia Center)
777 GLADES RD, OFFICE BUILDING 1
BOCA RATON, FL 33431
Student in an Organized Health Care Education/Training Program
777 GLADES RD
BOCA RATON, FL 33431
Nurse Practitioner (Adult Health)
777 GLADES RD
BOCA RATON, FL 33431
Nurse Practitioner (Psychiatric/Mental Health)
777 GLADES RD
BOCA RATON, FL 33431

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 Kevin Gopala Rao's NPI number?

The NPI number for Kevin Gopala Rao is 1356043046. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kevin Gopala Rao located?

Kevin Gopala Rao practices at 777 Glades Rd, Boca Raton, FL 33431. The listed phone number is (561) 297-4828.

What is Kevin Gopala Rao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Gopala Rao enrolled in Medicare?

Yes. Kevin Gopala Rao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Gopala Rao was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.