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MR. JAMES HENG RAO MD
NPI 1720162365
Hospitalist in Twin Falls, ID

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
650 ADDISON AVE W, TWIN FALLS, ID 83301(208) 737-2008(208) 737-2743 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, Oct 22, 2019 (2 updates tracked since 2019).

About Mr. James Heng Rao Md NPPES

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

MR. JAMES HENG RAO MD (NPI 1720162365) is an individual hospitalist provider in Twin Falls, Idaho, licensed in Idaho (M11093) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720162365
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. JAMES HENG RAOCredential: MD
Location Address650 ADDISON AVE WTwin Falls, ID 83301-5444
Mailing AddressPo Box 587Twin Falls, ID 83303-0587 · (208) 814-7501 · Fax (208) 814-7528
Phone(208) 737-2008
Fax(208) 737-2743
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 24, 2006
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1720162365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in ID · M11093✔ Licensed in WY · 10991A✔ Licensed in GA · 054029✔ Licensed in WA · WA60992195
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 054029 (GA), WA60992195 (WA)
650 ADDISON AVE W, Twin Falls, ID 83301
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Other Names 1

Former Name (1)Heng Rao M.d.

Secondary Practice Locations 2

Location 1888 Swift BlvdRichland, WA 99352-3514 · Phone (509) 942-2648 · Fax (509) 942-2812
Location 21200 College DrRock Springs, WY 82901-5868 · Phone (307) 362-3711 · Fax (307) 352-8530

Other Identifiers 1

Medicaid072008261AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., Providence Health Plan.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

Mr. James Heng 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 ID4486620960
PECOS Enrollment IDI20101208000499, I20170608001608
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.
199 services84 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.
78 services73 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.
59 services57 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.
49 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services42 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID
OwnershipGovernment - Local
CMS Certification Number131319
Location1224 8th StreetRupert, ID 83350 · Minidoka County
Emergency services

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers21 claims21 services$18.22 avg. paid by Medicare
Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$45.93 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$46.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers25 claims25 services$113.54 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.

SURGICAL ASSOCIATES OF SOUTHERN ID
Physician Assistant (Surgical)
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2112
CHARLES SPENCER HANSEN PT
Physical Therapist
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2000
NICHOLAS J PERIUS PA
Physician Assistant
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
CHAD F COLVIN D.O.
Emergency Medicine
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
MAGIC VALLEY REGIONAL MEDICAL CENTER
General Acute Care Hospital
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2112
ELVA M MCNURLIN
Dietitian, Registered
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429
DR. DANIEL CONSTANTINE ALDER M.D.
Radiology (Diagnostic Radiology)
650 ADDISON AVE W, RADIOLOGY DEPARTMENT
TWIN FALLS, ID 83301
Twin Falls County (208) 737-2192
PHILIP M NELSON MD
Emergency Medicine
650 ADDISON AVE W
TWIN FALLS, ID 83301
Twin Falls County (208) 732-3429

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 James Rao's NPI number?

The NPI number for James Rao is 1720162365. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Heng Rao M.D..

Where is James Rao located?

James Rao practices at 650 Addison Ave W, Twin Falls, ID 83301. The listed phone number is (208) 737-2008.

What is James Rao's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Rao enrolled in Medicare?

Yes. James 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 James Rao accept?

Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc. and Providence Health Plan list James 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 James Rao affiliated with any hospitals?

According to CMS data, James Rao is affiliated with Portneuf Medical Center, Minidoka Memorial Hospital, Sagewest Health Care and Wyoming Medical Center.

When was this NPI record last updated?

The NPPES record for James Rao was last updated on January 23, 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.