DR. SANJAY N RAO M.D.
NPI 1790738615
Ophthalmology in Oak Lawn, IL

Q: What is Sanjay Rao's NPI number?

The NPI number for Sanjay Rao is 1790738615. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Sanjay Rao's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Rao was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

6201 W 95TH ST, OAK LAWN, IL 60453(708) 636-9393(708) 636-2022 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, Oct 11, 2025, Nov 18, 2024 and 3 more (6 updates tracked since 2020).

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About Dr. Sanjay N Rao M.d. NPPES

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

DR. SANJAY N RAO M.D. (NPI 1790738615) is an individual ophthalmology provider in Oak Lawn, Illinois, licensed in Illinois (036102488) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Park Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1790738615

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SANJAY N RAOCredential: M.D.

Location Address6201 W 95TH STOak Lawn, IL 60453-3888

Mailing Address16 Kimberley CirOak Brook, IL 60523-1719 · (708) 636-9393 · Fax (708) 636-2022

Phone(708) 636-9393

Fax(708) 636-2022

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1996

Enumeration DateMay 19, 2006

Last NPPES UpdateJanuary 5, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1790738615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036102488

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6201 W 95TH ST, Oak Lawn, IL 60453

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Secondary Practice Locations 5

Location 1180 N Michigan Ave, Suite 1900Chicago, IL 60601-7401 · Phone (312) 553-1818 · Fax (312) 641-5503

Location 268 W Dundee RdBuffalo Grove, IL 60089-3758 · Phone (847) 541-3334 · Fax (847) 541-8442

Location 34459 N Kedzie AveChicago, IL 60625-4785 · Phone (773) 866-2020 · Fax (773) 866-2022

Location 414494 John Humphrey DrOrland Park, IL 60462-2638 · Phone (708) 226-9393 · Fax (708) 403-5751

Location 517W682 Butterfield Rd Ste 101Oakbrook Terrace, IL 60181-4029 · Phone (708) 636-9393 · Fax (708) 636-2022

Other Identifiers 1

Medicaid036102488IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Dr. Sanjay N Rao M.d. 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 ID8426953449

PECOS Enrollment IDI20031203000575

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

641 services368 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

290 services237 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

127 services72 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

93 services93 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

72 services48 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

61 services58 patients

Hospital Affiliations CMS Care Compare

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

Jackson Park Hospital

Acute Care Hospitals · Chicago, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140177

Location7531 S Stony Island AveChicago, IL 60649 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. AUSTIN WILLIAM TORESDAHL OD

Optometrist