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SUSHMA RAMPRASAD RAO
NPI 1770853319
Internal Medicine - Infectious Disease in Norwalk, CT

Active since January 12, 2012PECOS Enrolled
94.24/100
CMS Quality Rating
761 MAIN AVE, NORWALK, CT 06851(203) 852-2280(203) 899-5028 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 2, 2019, Feb 14, 2019, Mar 26, 2018 and 2 more (5 updates tracked since 2016).

About Sushma Ramprasad Rao NPPES

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

SUSHMA RAMPRASAD RAO (NPI 1770853319) is an individual infectious disease provider in Norwalk, Connecticut, licensed in Connecticut (53133) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770853319
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSUSHMA RAMPRASAD RAO
Location Address761 MAIN AVENorwalk, CT 06851-1080
Mailing Address761 Main AveNorwalk, CT 06851-1080 · (203) 852-2280 · Fax (203) 899-5028
Phone(203) 852-2280
Fax(203) 899-5028
Sole ProprietorNo
Enumeration DateJanuary 12, 2012
Last NPPES UpdateJuly 2, 20195 updates tracked since enumeration
✔ NPI 1770853319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CT · 53133
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
761 MAIN AVE, Norwalk, CT 06851
Open in Google Maps ↗

Other Names 1

Former Name (1)Sushma Ramprasad

Other Identifiers 1

Medicaid1770853319CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushma Ramprasad Rao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sushma Rao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norwalk Community Health Center Inc
3.7 mi
Health Service
120 CONNECTICUT AVENUE
Norwalk, CT 06854
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
NPI 1841226347 (203) 899-1770
Nuvance Health Medical Practice Ct, Inc.
17 mi
Internal Medicine
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 818 clinicians in this Medicare group
NPI 1407898117 (203) 739-7742

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06851 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
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.

CHRISTINA CHAO P.A.
Physician Assistant
761 MAIN AVE, SUITE 102
NORWALK, CT 06851
Western Connecticut Planning Region (203) 810-4151
ILLUME FERTILITY, PLLC
Obstetrics & Gynecology (Reproductive Endocrinology)
761 MAIN AVE, SUITE 200
NORWALK, CT 06851
Western Connecticut Planning Region (203) 750-7400
ILLUME FERTILITY, PLLC
Clinic/Center (Ambulatory Fertility Facility)
761 MAIN AVE, SUITE 200
NORWALK, CT 06851
Western Connecticut Planning Region (203) 750-7400
PAULINE ANNE SHARMA PA-C
Physician Assistant
761 MAIN AVE, SUITE 101
NORWALK, CT 06851
Western Connecticut Planning Region (203) 845-2244
SPENCER S. RICHLIN MD
Obstetrics & Gynecology (Reproductive Endocrinology)
761 MAIN AVE, SUITE 200
NORWALK, CT 06851
Western Connecticut Planning Region (203) 750-7400
MARIA A MARTIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
761 MAIN AVE, SUITE 201
NORWALK, CT 06851
Western Connecticut Planning Region (203) 838-4000
DR. FRANK JOHN PINTO JR. MD
Dermatology
761 MAIN AVE, SUITE 102
NORWALK, CT 06851
Western Connecticut Planning Region (203) 810-4151
DR. MANDY SHER GREENBERG M.D.
Surgery (Surgical Oncology)
761 MAIN AVE, SUITE 203
NORWALK, CT 06851
Western Connecticut Planning Region (203) 846-6012

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 Sushma Rao's NPI number?

The NPI number for Sushma Rao is 1770853319. It was assigned to this individual provider in the NPPES registry on January 12, 2012. The provider is also known as Sushma Ramprasad.

Where is Sushma Rao located?

Sushma Rao practices at 761 Main Ave, Norwalk, CT 06851. The listed phone number is (203) 852-2280.

What is Sushma Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sushma Rao enrolled in Medicare?

Yes. Sushma Rao is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sushma Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Rao reassigns Medicare benefits to 2 organizations: Norwalk Community Health Center Inc (Norwalk, CT) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sushma Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sushma Rao was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.