DR. AKHILESH RAO MD
NPI 1467444802
Internal Medicine - Nephrology in Middleburg Heights, OH

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
81.84/100
CMS Quality Rating
7225 OLD OAK BLVD, BLDG B STE 313, MIDDLEBURG HEIGHTS, OH 44130(440) 243-0574(440) 243-0582 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Jan 12, 2016, Dec 15, 2015 (3 updates tracked since 2015).

About Dr. Akhilesh Rao Md NPPES

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

DR. AKHILESH RAO MD (NPI 1467444802) is an individual nephrology provider in Middleburg Heights, Ohio, licensed in Ohio (35.086958) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1467444802
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. AKHILESH RAOCredential: MD
Location Address7225 OLD OAK BLVD, BLDG B STE 313Middleburg Heights, OH 44130-3339
Mailing Address20455 Lorain Rd Ste T1, Americare Kidney Institute LlcFairview Park, OH 44126-3495 · (440) 799-4224 · Fax (440) 799-4228
Fax(440) 243-0582
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 22, 2005
Last NPPES UpdateJanuary 12, 20163 updates tracked since enumeration
NPI 1467444802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in OH · 35.086958 Licensed in MO · 2013009359
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License E4200 (AR), 35086958 (OH)
7225 OLD OAK BLVD, Middleburg Heights, OH 44130

Other Identifiers 3

Medicare PINH353410OH
Medicare UPINI21632OH
Medicaid2805085OH

Accepted 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

Dr. Akhilesh 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 ID3173588241
PECOS Enrollment IDI20150715000692
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
695 services210 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.
242 services170 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services106 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.
63 services45 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.
50 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.34
Promoting Interoperability97
Improvement Activities40
Cost67.97

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%447 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,015 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
72%136 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%74 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%248 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%582 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%320 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%248 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%248 patients2/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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)
7225 OLD OAK BLVD, SUITE A210
MIDDLEBURG HEIGHTS, OH 44130
Obstetrics & Gynecology
7225 OLD OAK BLVD, SUITE B311
MIDDLEBURG HEIGHTS, OH 44130
Orthopaedic Surgery
7225 OLD OAK BLVD, SUITE B312
MIDDLEBURG HTS, OH 44130
Family Medicine
7225 OLD OAK BLVD, SUITE 210A
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine (Nephrology)
7225 OLD OAK BLVD, STE B313
MIDDLEBURG HEIGHTS, OH 44130
Pathology (Hematology)
7225 OLD OAK BLVD, 317B
CLEVELAND, OH 44130
Family Medicine
7225 OLD OAK BLVD
CLEVELAND, OH 44130
Family Medicine
7225 OLD OAK BLVD, SUITE 210A
MIDDLEBURG HEIGHTS, OH 44130

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 Akhilesh Rao's NPI number?

The NPI number for Akhilesh Rao is 1467444802. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Akhilesh Rao located?

Akhilesh Rao practices at 7225 Old Oak Blvd Bldg B Ste 313, Middleburg Heights, OH 44130. The listed phone number is (440) 243-0574.

What is Akhilesh Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Akhilesh Rao enrolled in Medicare?

Yes. Akhilesh 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 Akhilesh Rao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Akhilesh 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 Akhilesh Rao affiliated with any hospitals?

According to CMS data, Akhilesh Rao is affiliated with Parma Community General Hospital, Medina Hospital, Uh Cleveland Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Akhilesh Rao was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.