SANJAY PRAKASH RAU DO
NPI 1699332932
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 22, 2019PECOS Enrolled
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(617) 827-3596 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Mar 16, 2026, May 29, 2020 and 1 more (4 updates tracked since 2019).

About Sanjay Prakash Rau Do NPPES

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

SANJAY PRAKASH RAU DO (NPI 1699332932) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT020276) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1699332932
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSANJAY PRAKASH RAUCredential: DO
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2019
Enumeration DateMay 22, 2019
Last NPPES UpdateMay 29, 20204 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
NPI 1699332932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in PA · OT020276
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 281066 (MA), 280722 (MA)
10800 KNIGHTS RD, Philadelphia, PA 19114

Secondary Practice Location 1

Location 12100 Dorchester AveBoston, MA 02124-5615 · Phone (617) 827-3596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sanjay Prakash Rau Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587018361
PECOS Enrollment IDI20260409001897
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.

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex 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

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.

Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114

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 Sanjay Rau's NPI number?

The NPI number for Sanjay Rau is 1699332932. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Sanjay Rau located?

Sanjay Rau practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (617) 827-3596.

What is Sanjay Rau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sanjay Rau enrolled in Medicare?

Yes. Sanjay Rau is registered in the Medicare PECOS enrollment system.

Is Sanjay Rau affiliated with any hospitals?

According to CMS data, Sanjay Rau is affiliated with Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Sanjay Rau was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.