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DR. SRUTI RAO M.D
NPI 1396185682
Pediatrics - Pediatric Cardiology in Grand Rapids, MI

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503(616) 267-9150 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2023, Oct 17, 2016 (2 updates tracked since 2016).

About Dr. Sruti Rao M.d NPPES

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

DR. SRUTI RAO M.D (NPI 1396185682) is an individual pediatric cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301514285) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396185682
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SRUTI RAOCredential: M.D
Location Address25 MICHIGAN ST NE STE 4200Grand Rapids, MI 49503-2559
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-9150
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 1, 2013
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1396185682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4301514285
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 4301514285 (MI)
25 MICHIGAN ST NE STE 4200, Grand Rapids, MI 49503
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1400 Medical Park DrWatervliet, MI 49098-9225 · Phone (269) 463-3044
Location 21234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 428-5007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Sruti 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 ID9436386612
PECOS Enrollment IDI20250611001095
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

4

Medicare enrollment records show Sruti Rao reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
Same address
Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1326599671 (616) 391-3933
Lakeland Community Hospital Watervliet
59 mi
Rural Health
525 S CENTER ST
Hartford, MI 49057
  • Reassigned Medicare billing, Michigan enrollment
  • 107 clinicians in this Medicare group
NPI 1023114741 (269) 621-4063
Lakeland Hospitals At Niles And St Joseph, Inc
74 mi
General Acute Care Hospital
1234 NAPIER AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 249 clinicians in this Medicare group
NPI 1134220031 (269) 983-8300
Lakeland Medical Practices
74 mi
Internal Medicine
1234 NAPIER AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1538397120 (269) 428-5007

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.

Ultrasound of heart for congenital defect 93303
An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.
12 services12 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
11 services11 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
11 services11 patients

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

STEPHANIE-GRACE ABINOJA RAYMUNDO M.D.
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
KHIRA LAUREN BENSON CNP
Nurse Practitioner (Acute Care)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
DR. LINDA BARBARA PAULIKS MD
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
TERESA CAROLINA ZURITA MD
Pediatrics
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
JEAN ANN BALLWEG M.D.
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
YASSER AL KHATIB MD
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
JAMES MARTIN HAMMEL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
SARAH BADRAN MD
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150

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 Sruti Rao's NPI number?

The NPI number for Sruti Rao is 1396185682. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Sruti Rao located?

Sruti Rao practices at 25 Michigan St NE Ste 4200, Grand Rapids, MI 49503. The listed phone number is (616) 267-9150.

What is Sruti Rao's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sruti Rao enrolled in Medicare?

Yes. Sruti 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 Sruti Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sruti Rao reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Lakeland Community Hospital Watervliet (Hartford, MI), Lakeland Hospitals At Niles And St Joseph, Inc (Saint Joseph, MI) and Lakeland Medical Practices (Saint Joseph, MI). 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 Sruti Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sruti Rao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Sruti 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.

When was this NPI record last updated?

The NPPES record for Sruti Rao was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.