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SURAJ RAO MD
NPI 1598385288
Family Medicine in Leominster, MA

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
60 HOSPITAL RD, LEOMINSTER, MA 01453(978) 466-4169(978) 466-4164 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Suraj Rao Md NPPES

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

SURAJ RAO MD (NPI 1598385288) is an individual family medicine provider in Leominster, Massachusetts, licensed in Massachusetts (1013386) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598385288
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSURAJ RAOCredential: MD
Location Address60 HOSPITAL RDLeominster, MA 01453-2205
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 466-4169
Fax(978) 466-4164
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2020
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1598385288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 1013386
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
60 HOSPITAL RD, Leominster, MA 01453
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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

Suraj 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 ID941621908
PECOS Enrollment IDI20230817002259
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 6

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.
421 services197 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
301 services265 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.
254 services223 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.
126 services118 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.
67 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

DAVID J PETULLO MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
LILLIAN RICH M.D.
Emergency Medicine
60 HOSPITAL RD, WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
Worcester County (978) 466-2994
GERMAINE EARLE-CRUICKSHANKS D.O
Obstetrics & Gynecology (Hospice and Palliative Medicine)
60 HOSPITAL RD, HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
General Acute Care Hospital
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
BINU PATHROSE MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
DR. JAY LOUIS GLASER MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
COORDINATED PRIMARY CARE INC
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
KRISTINA M CECKOWSKI
Social Worker
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 728-0621

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 Suraj Rao's NPI number?

The NPI number for Suraj Rao is 1598385288. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Suraj Rao located?

Suraj Rao practices at 60 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-4169.

What is Suraj Rao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suraj Rao enrolled in Medicare?

Yes. Suraj 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 Suraj Rao affiliated with any hospitals?

According to CMS data, Suraj Rao is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Suraj Rao was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.