RAJESH SK RAO MD
NPI 1528060472
Internal Medicine - Pulmonary Disease in Auburn, NY

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
77 NELSON ST, SUITE 240, AUBURN, NY 13021(315) 252-8838(315) 252-8843 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajesh Sk Rao Md NPPES

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

RAJESH SK RAO MD (NPI 1528060472) is an individual pulmonary disease provider in Auburn, New York, licensed in New York (254844) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1528060472
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAJESH SK RAOCredential: MD
Location Address77 NELSON ST, SUITE 240Auburn, NY 13021-1944
Mailing Address77 Nelson St, Suite 240Auburn, NY 13021-1944 · (315) 252-8838 · Fax (315) 252-8843
Fax(315) 252-8843
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 11, 2005
Last NPPES UpdateFebruary 17, 2015
NPI 1528060472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 254844
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 254844 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 254844 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 254844 (NY)
77 NELSON ST, Auburn, NY 13021

Other Identifiers 3

Medicare UPINI23121
Medicaid02625047NY
Medicare PINJ400007499NY

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

Rajesh Sk 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 ID6800854225
PECOS Enrollment IDI20041230000489, I20150313000801
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 15

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.
530 services273 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.
119 services119 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
76 services73 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
65 services61 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
64 services64 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
51 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330235
Location17 Lansing StreetAuburn, NY 13021 · Cayuga County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13021 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.87
Promoting Interoperability89
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 27

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers132 claims132 services$43.32 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers15 claims15 services$17.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers107 claims107 services$114.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers88 claims152 services$40.17 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers86 claims385 services$22.79 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers45 claims202 services$17.58 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.

Psychiatry & Neurology (Neurology)
77 NELSON ST, SUITE #120
AUBURN, NY 13021
Nurse Practitioner
77 NELSON ST, SUITE 310
AUBURN, NY 13021
Internal Medicine (Gastroenterology)
77 NELSON ST, SUITE #220
AUBURN, NY 13021
Nurse Practitioner (Adult Health)
77 NELSON ST, SUITE 240
AUBURN, NY 13021
Orthopaedic Surgery
77 NELSON ST, STE 120
AUBURN, NY 13021
Nurse Practitioner
77 NELSON ST, SUITE 310
AUBURN, NY 13021
Orthopaedic Surgery
77 NELSON ST, SUITE 120
AUBURN, NY 13021
Internal Medicine (Gastroenterology)
77 NELSON ST, SUITE 240
AUBURN, NY 13021

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 Rajesh Rao's NPI number?

The NPI number for Rajesh Rao is 1528060472. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Rajesh Rao located?

Rajesh Rao practices at 77 Nelson St Suite 240, Auburn, NY 13021. The listed phone number is (315) 252-8838.

What is Rajesh Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajesh Rao enrolled in Medicare?

Yes. Rajesh 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 Rajesh Rao affiliated with any hospitals?

According to CMS data, Rajesh Rao is affiliated with Geneva General Hospital, Auburn Community Hospital, Penn Highlands Dubois and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Rajesh Rao was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.