DR. VIKRAM RAO M.D.
NPI 1427439249
Internal Medicine in West Haven, CT

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
1 CELLINI PL STE 102, WEST HAVEN, CT 06516(917) 855-7189 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Aug 7, 2019 (2 updates tracked since 2019).

About Dr. Vikram Rao M.d. NPPES

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

DR. VIKRAM RAO M.D. (NPI 1427439249) is an individual internal medicine provider in West Haven, Connecticut, licensed in Connecticut (63849) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1427439249
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VIKRAM RAOCredential: M.D.
Location Address1 CELLINI PL STE 102West Haven, CT 06516-1666
Mailing Address1 Cellini Pl Ste 102West Haven, CT 06516-1666 · (917) 855-7189
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1427439249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 63849
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.
1 CELLINI PL STE 102, West Haven, CT 06516

Other Names 1

Professional Name (2)Dr. Vikram Rao M.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Vikram 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 ID5294070819
PECOS Enrollment IDI20190823000245
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 9

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.

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.
260 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 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.
87 services76 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
48 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
44 services43 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.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims15 services$6.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.71 avg. paid by Medicare
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$66.06 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 20

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

Nurse Practitioner (Adult Health)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Physician Assistant (Medical)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Physician Assistant
1 CELLINI PL STE 102
WEST HAVEN, CT 06516

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 Vikram Rao's NPI number?

The NPI number for Vikram Rao is 1427439249. It was assigned to this individual provider in the NPPES registry on June 17, 2015. The provider is also known as Dr. Vikram Rao M.D..

Where is Vikram Rao located?

Vikram Rao practices at 1 Cellini Pl Ste 102, West Haven, CT 06516. The listed phone number is (917) 855-7189.

What is Vikram Rao's specialty?

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

Is Vikram Rao enrolled in Medicare?

Yes. Vikram 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.

Is Vikram Rao affiliated with any hospitals?

According to CMS data, Vikram Rao is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vikram Rao was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.