DR. PRAVIN KUMAR RAO M.D.
NPI 1356510366
Urology in Baltimore, MD
NPI Status: Active since February 23, 2008
Contact Information
4940 EASTERN AVE
SUITE 3100
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-3338
- Individual
- Male
- Urology
- PECOS Enrolled
About PRAVIN RAO
This page provides the complete NPI Profile along with additional information for Pravin Rao, a provider established in Baltimore, Maryland with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1356510366 assigned on February 2008. The practitioner's primary taxonomy code is 208800000X with license number D0072560 (MD). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1356510366
- Provider Name
- DR. PRAVIN KUMAR RAO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4940 EASTERN AVE SUITE 3100 BALTIMORE, MD 21224
- Location Phone
- (410) 550-3338
- Mailing Address
- 4940 EASTERN AVE SUITE 3100 BALTIMORE, MD 21224
- Mailing Phone
- (410) 550-3338
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-23-2008
- Last Update Date
- 06-06-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0072560
- License State
- MD
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Medicare Participation & PECOS Enrollment Status
Pravin Rao is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21224 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $139.05
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $34.76
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.47
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $18.86
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 1 | 0 | 3 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 1 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 1 + 0 + 3 + 1 + 2 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1356510366 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HAROLD J ALFERT M.D.
Urology
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
DANA KIMBALL ANDERSEN M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
CAROLYN SHARON BACAL P.A.-C.
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
HIBA M BARGHOUTHI M.D.
Internal Medicine
(Nephrology)
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
LISA ANN BARKEY P.A.-C.
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
COLLEEN HOWLAND PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
SUSAN ELAINE BAILEY M.D.
Psychiatry & Neurology
(Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
ANNA MAE BECKER C.P.N.P.
Nurse Practitioner
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
GEORGE E BIGELOW P.H.D.
Psychologist
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
EDWARD S BESSMAN M.D.
Emergency Medicine
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
HENRY W BOFFEN JR. C.R.N.A.
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
ROMSAI T BOONYASAI M.D.
Internal Medicine
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
ROBIN BOYNTON C.R.N.A.
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
KAREN BOLLA P.H.D.
Psychologist
(Clinical)
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
STEPHANIE RUTH MARTINDALE P.A.
Physician Assistant
(Medical)
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
JOHN TIMOTHY CAMPBELL M.D.
Orthopaedic Surgery
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
JAMES F BURDICK M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
ANNE ELIZABETH BURKE M.D.
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
PATRICIA K. MAZIKAS P.A.
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
DR. SHARON HANDEL M.D.
Psychiatry & Neurology
(Psychiatry)
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356510366, enumerated as an "individual" on February 23, 2008.
The provider is located at 4940 EASTERN AVE SUITE 3100 BALTIMORE, MD 21224 and the phone number is (410) 550-3338.
Urology with taxonomy code 208800000X.
