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DR. SUJATHA ANASAPURAPU RAO M.D.
NPI 1356420368
Specialist in Carbondale, IL

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
73.88/100
CMS Quality Rating
3255 CINNEBAR PT STE 1, CARBONDALE, IL 62901(618) 303-2712 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Mar 8, 2023 (2 updates tracked since 2023).

About Dr. Sujatha Anasapurapu Rao M.d. NPPES

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

DR. SUJATHA ANASAPURAPU RAO M.D. (NPI 1356420368) is an individual specialist in Carbondale, Illinois, licensed in Illinois (201307515) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1356420368
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. SUJATHA ANASAPURAPU RAOCredential: M.D.
Location Address3255 CINNEBAR PT STE 1Carbondale, IL 62901-5203
Mailing Address3255 Cinnebar PtCarbondale, IL 62901-5203 · (618) 303-2712
Phone(618) 303-2712
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 2, 2006
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1356420368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 201307515
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 036111928 (IL)
3255 CINNEBAR PT STE 1, Carbondale, IL 62901
Open in Google Maps ↗

Other Identifiers 1

Medicaid036111928IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Dr. Sujatha Anasapurapu 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 ID7214900513
PECOS Enrollment IDI20041004000602, I20250311003854
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 Sujatha Rao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Illinois Specialty Clinic, Inc.
15 mi
Orthopaedic Surgery
3329 W DEYOUNG ST
Marion, IL 62959
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1386351856 (618) 998-7177
The Charlotte-Mecklenburg Hospital Authority
461 mi
General Practice
201 E GROVER ST
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1225435126 (980) 487-7427

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 3

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.

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.
119 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

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.

73.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.79
Promoting Interoperability91
Improvement Activities40
Cost56.52

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
67%113 patients3/55-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.

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 Sujatha Rao's NPI number?

The NPI number for Sujatha Rao is 1356420368. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Sujatha Rao located?

Sujatha Rao practices at 3255 Cinnebar Pt Ste 1, Carbondale, IL 62901. The listed phone number is (618) 303-2712.

What is Sujatha Rao's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sujatha Rao enrolled in Medicare?

Yes. Sujatha 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 Sujatha Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujatha Rao reassigns Medicare benefits to 2 organizations: Deaconess Illinois Specialty Clinic, Inc. (Marion, IL) and The Charlotte-Mecklenburg Hospital Authority (Shelby, NC). 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 Sujatha Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sujatha Rao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Sujatha Rao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sujatha Rao affiliated with any hospitals?

According to CMS data, Sujatha Rao is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center, Northwestern Medicine Central Dupage Hospital and Carolinas Medical Center-Northeast.

When was this NPI record last updated?

The NPPES record for Sujatha Rao was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.