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DR. PRAVIN KUMAR RAO M.D.
NPI 1356510366
Urology in Baltimore, MD

Active since February 23, 2008PECOS Enrolled
4940 EASTERN AVE, SUITE 3100, BALTIMORE, MD 21224(410) 550-3338 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Pravin Kumar Rao M.d. NPPES

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

DR. PRAVIN KUMAR RAO M.D. (NPI 1356510366) is an individual urology provider in Baltimore, Maryland, licensed in Maryland (D0072560) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356510366
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PRAVIN KUMAR RAOCredential: M.D.
Location Address4940 EASTERN AVE, SUITE 3100Baltimore, MD 21224-2735
Mailing Address4940 Eastern Ave, Suite 3100Baltimore, MD 21224-2735 · (410) 550-3338
Phone(410) 550-3338
Sole ProprietorYes
Enumeration DateFebruary 23, 2008
Last NPPES UpdateJune 6, 2021
NPPES CertifiedJune 6, 2021
✔ NPI 1356510366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MD · D0072560
Definition
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.
4940 EASTERN AVE, Baltimore, MD 21224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pravin Kumar Rao M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Pravin Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
6.7 mi
Ambulatory Surgical
1701 TWIN SPRINGS RD
Halethorpe, MD 21227
  • Reassigned Medicare billing, Maryland enrollment
  • Also billed through NPI 1417294984 (Maryland), NPI 1457023616 (Maryland)
  • 701 clinicians in this Medicare group
NPI 1942546486 (301) 816-2424

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Pravin Rao's NPI number?

The NPI number for Pravin Rao is 1356510366. It was assigned to this individual provider in the NPPES registry on February 23, 2008.

Where is Pravin Rao located?

Pravin Rao practices at 4940 Eastern Ave Suite 3100, Baltimore, MD 21224. The listed phone number is (410) 550-3338.

What is Pravin Rao's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pravin Rao enrolled in Medicare?

Yes. Pravin Rao is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pravin Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pravin Rao reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). The 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 Pravin Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pravin Rao was last updated on June 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.