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JYOTHI P RAO MD
NPI 1699734533
Internal Medicine - Endocrinology, Diabetes & Metabolism in Raleigh, NC

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
10207 CERNY ST STE 306, RALEIGH, NC 27617(919) 684-3600(919) 660-9201 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jyothi P Rao Md NPPES

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

JYOTHI P RAO MD (NPI 1699734533) is an individual endocrinology, diabetes & metabolism provider in Raleigh, North Carolina, licensed in North Carolina (2008-01296) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1699734533
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameJYOTHI P RAOCredential: MD
Location Address10207 CERNY ST STE 306Raleigh, NC 27617-4887
Mailing Address10207 Cerny St Ste 306Raleigh, NC 27617-4887 · (919) 684-3600 · Fax (919) 660-9201
Phone(919) 684-3600
Fax(919) 660-9201
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 20, 2006
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1699734533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in NC · 2008-01296✔ Licensed in MN · 17129
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
10207 CERNY ST STE 306, Raleigh, NC 27617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Jyothi P 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 ID2264435890
PECOS Enrollment IDI20090110000043
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 10

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.
329 services195 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
132 services84 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
122 services72 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
80 services40 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
48 services21 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27617 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers16 claims199 services$17.92 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers15 claims490 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
34 suppliers97 claims407 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers30 claims58 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
20 suppliers218 claims221 services$186.69 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

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

PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Nephrology)
10207 CERNY ST STE 306
RALEIGH, NC 27617
Wake County (919) 405-2341

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 Jyothi Rao's NPI number?

The NPI number for Jyothi Rao is 1699734533. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Jyothi Rao located?

Jyothi Rao practices at 10207 Cerny St Ste 306, Raleigh, NC 27617. The listed phone number is (919) 684-3600.

What is Jyothi Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jyothi Rao enrolled in Medicare?

Yes. Jyothi 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 Jyothi Rao accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Jyothi 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 Jyothi Rao affiliated with any hospitals?

According to CMS data, Jyothi Rao is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jyothi Rao was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.