SHANTI GUNDAVARAM RAO MD
NPI 1366973588
Internal Medicine in Huntersville, NC

Q: What is Shanti Rao's NPI number?

The NPI number for Shanti Rao is 1366973588. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is Shanti Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanti Rao was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment

16455 STATESVILLE RD, STE 200, HUNTERSVILLE, NC 28078(704) 801-3011 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Sep 8, 2022, Jun 19, 2020 and 2 more (5 updates tracked since 2017).

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About Shanti Gundavaram Rao Md NPPES

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

SHANTI GUNDAVARAM RAO MD (NPI 1366973588) is an individual internal medicine provider in Huntersville, North Carolina, licensed in North Carolina (2020-00571) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1366973588

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSHANTI GUNDAVARAM RAOCredential: MD

Location Address16455 STATESVILLE RD, STE 200Huntersville, NC 28078-7135

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 801-3011

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2017

Enumeration DateMarch 21, 2017

Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1366973588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2020-00571

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 2020-00571 (NC)

16455 STATESVILLE RD, Huntersville, NC 28078

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Secondary Practice Locations 4

Location 11025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-4593

Location 2441 McAlister RdLincolnton, NC 28092-4126 · Phone (980) 212-4000

Location 31585 Forney Creek Pkwy, Ste 2350Denver, NC 28037-9514 · Phone (980) 212-4000

Location 4923 N 2nd St, Ste 204Albemarle, NC 28001-3317 · Phone (980) 323-5600

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanti Gundavaram 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 ID2860813136

PECOS Enrollment IDI20230919002786

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.

Areas of Expertise CMS Part B claims 6

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

78 services75 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

70 services69 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

67 services67 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.

40 services40 patients

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.

30 services24 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340145

Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

MRS. MEREDITH FISHER MENUDIER

Speech-Language Pathologist

16455 STATESVILLE RD
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3719

JENNIFER LYNN THOMAS NP

Nurse Practitioner

16455 STATESVILLE RD, STE 360
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3300

NORTHCROSS OBSTETRIC AND GYNECOLOGIC ASSOCIATES

Obstetrics & Gynecology

16455 STATESVILLE RD, STE 400
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-2130

DIONNE MASHAWN SPENCE MA SLP

Speech-Language Pathologist

16455 STATESVILLE RD
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3719

MECKLENBURG MEDICAL GROUP

Dermatology

16455 STATESVILLE RD, STE 200
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 302-8600

SARA CHRISTINE FLEMING PT

Physical Therapist

16455 STATESVILLE RD
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 355-4645

KATHERINE BROOKS NP

Nurse Practitioner

16455 STATESVILLE RD, STE 360
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3300

YVETTE ELAINE BESSENT MD

Obstetrics & Gynecology

16455 STATESVILLE RD, SUITE 400
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-2130

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 Shanti Rao's NPI number?

The NPI number for Shanti Rao is 1366973588. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Shanti Rao located?

Shanti Rao practices at 16455 Statesville Rd Ste 200, Huntersville, NC 28078. The listed phone number is (704) 801-3011.

What is Shanti Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shanti Rao enrolled in Medicare?

Yes. Shanti 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.

What insurance does Shanti Rao accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Shanti 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 Shanti Rao affiliated with any hospitals?

According to CMS data, Shanti Rao is affiliated with Carolinas Medical Center/Behav Health, Atrium Health Lincoln and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Shanti Rao was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.