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DR. MADHAVI N RAO MD
NPI 1861507568
Internal Medicine in South Barrington, IL

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
94.12/100
CMS Quality Rating
4 EXECUTIVE CT, SUITE 3, SOUTH BARRINGTON, IL 60010(847) 756-4500(847) 756-4501 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2021, May 23, 2017 (2 updates tracked since 2017).

About Dr. Madhavi N Rao Md NPPES

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

DR. MADHAVI N RAO MD (NPI 1861507568) is an individual internal medicine provider in South Barrington, Illinois, licensed in Illinois (036099167) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1861507568
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MADHAVI N RAOCredential: MD
Location Address4 EXECUTIVE CT, SUITE 3South Barrington, IL 60010-9519
Mailing Address25 Telser Rd, Unit 1057Lake Zurich, IL 60047-3647 · (847) 756-4500 · Fax (847) 756-4501
Phone(847) 756-4500
Fax(847) 756-4501
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1861507568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036099167
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036099167 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036099167 (IL)
4 EXECUTIVE CT, South Barrington, IL 60010
Open in Google Maps ↗

Other Identifiers 5

Other203536IL · Ptan
Medicaid036099167IL
Other203535IL · Ptan
Medicaid20013381IL
Other203537IL · Ptan

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. Madhavi N 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 ID6204834062
PECOS Enrollment IDI20061110000239
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 8

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.
1,069 services397 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.
465 services414 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.
357 services317 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
224 services153 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
80 services78 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.
73 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60010 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Improvement Activities40
Cost75.07

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
5 suppliers38 claims40 services$13.77 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.42 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
5 suppliers44 claims46 services$61.71 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$10.68 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 4

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

PETER ZEPELAK PHYSICAL THERAPY PC
Physical Therapist (Orthopedic)
4 EXECUTIVE CT, SUITE 1
SOUTH BARRINGTON, IL 60010
Cook County (847) 277-9698
RINIKER HAND THERAPY, LTD.
Specialist
4 EXECUTIVE CT, SUITE ONE
SOUTH BARRINGTON, IL 60010
Cook County (312) 451-7541
CELESTE M GALIZIA DO
Family Medicine
4 EXECUTIVE CT, SUITE 3
SOUTH BARRINGTON, IL 60010
Cook County (847) 756-4500
ELIZABETH A SCHUPP MD, FCCP
Specialist
4 EXECUTIVE CT, SUITE 3
SOUTH BARRINGTON, IL 60010
Cook County (815) 477-7350

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 Madhavi Rao's NPI number?

The NPI number for Madhavi Rao is 1861507568. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Madhavi Rao located?

Madhavi Rao practices at 4 Executive Ct Suite 3, South Barrington, IL 60010. The listed phone number is (847) 756-4500.

What is Madhavi Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madhavi Rao enrolled in Medicare?

Yes. Madhavi 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.

Is Madhavi Rao affiliated with any hospitals?

According to CMS data, Madhavi Rao is affiliated with Advocate Sherman Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Madhavi Rao was last updated on August 25, 2021. 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.