DR. KRISHNA M. RAO M.D.
NPI 1417925397
Internal Medicine - Cardiovascular Disease in Rochester, NY

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment

90.23/100

CMS Quality Rating

140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623(585) 338-2700(585) 242-9663 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2023, Apr 24, 2017 (2 updates tracked since 2017).

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About Dr. Krishna M. Rao M.d. NPPES

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

DR. KRISHNA M. RAO M.D. (NPI 1417925397) is an individual cardiovascular disease provider in Rochester, New York, licensed in New York (186635) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1417925397

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KRISHNA M. RAOCredential: M.D.

Location Address140 CANAL VIEW BLVD, SUITE 102Rochester, NY 14623-2808

Mailing Address140 Canal View Blvd, Suite 102Rochester, NY 14623-2808 · (585) 338-2700 · Fax (585) 242-9663

Phone(585) 338-2700

Fax(585) 242-9663

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateMarch 8, 2006

Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration

✔ NPI 1417925397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 186635

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

140 CANAL VIEW BLVD, Rochester, NY 14623

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Other Identifiers 15

Other0001154317United Healthcare

Other9682192Ghi

OtherRC60186635Rcipa

Other000524207002Health Now Linden Oaks

Other005242071Comm Blue/bcbswny

Medicaid01482773NY

OtherMD429YPreferred Care

Other301135Wellcare

OtherPO10186635Gripa

OtherPO10186635Excellus

Other4469775Aetna

Other92724412Tricare/champus

Other005242071Health Now Parnall

Other110091403Railroad Medicare

Other6890Bcbs

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

Dr. Krishna M. 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 ID6103896956

PECOS Enrollment IDI20040728001544

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 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

108 services92 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

77 services76 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

50 services49 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.

43 services43 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.

33 services33 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.

30 services30 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

27 services27 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

25 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

25 services25 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

24 services24 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

24 services24 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

22 services22 patients

Ultrasound of heart blood flow, valves and chambers 93320

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services15 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

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.

90.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.68

Promoting Interoperability

100

Improvement Activities

Cost

70.25

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$67.60 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$36.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK E. HAMER M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

140 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

Monroe County (585) 338-2700

DR. PARAG P PATEL M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

140 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

Monroe County (585) 338-2700

THERESA RICHARDSON PA

Physician Assistant (Medical)

140 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

Monroe County (585) 338-2700

MARCIA KELLER MS, RN, CS, ANP-BC

Nurse Practitioner

140 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

Monroe County (585) 338-2700

NICOLE LYNN HOLDSWORTH NP

Nurse Practitioner (Adult Health)

140 CANAL VIEW BLVD
ROCHESTER, NY 14623

Monroe County (585) 279-5100

ELIZABETH ANN BUTTERER FNP

Nurse Practitioner (Family)

140 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

Monroe County (585) 338-2700

MRS. ARICA N FERGUSON PA

Physician Assistant

140 CANAL VIEW BLVD, SUITE 103
ROCHESTER, NY 14623

Monroe County (585) 279-5100

DR. ROY S. WIENER M.D.

Internal Medicine (Cardiovascular Disease)

140 CANAL VIEW BLVD, SUITE 102
ROCHESTER, NY 14623

Monroe County (585) 338-2700

DR. KRISHNA M. RAO M.D.
NPI 1417925397
Internal Medicine - Cardiovascular Disease in Rochester, NY

About Dr. Krishna M. Rao M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 15

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 17

Hospital Affiliations CMS Care Compare 2

Rochester General Hospital

Strong Memorial Hospital

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 2

Other Providers at the Same Location NPPES 17

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