SUMAN B RAO MD
NPI 1912976325
Internal Medicine - Hematology & Oncology in Baltimore, MD

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
72.86/100
CMS Quality Rating
9103 FRANKLIN SQUARE DRIVE, SUITE 2200, BALTIMORE, MD 21237(443) 777-7147 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2021, Nov 20, 2020 (2 updates tracked since 2020).

About Suman B Rao Md NPPES

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

SUMAN B RAO MD (NPI 1912976325) is an individual hematology & oncology provider in Baltimore, Maryland, licensed in Maryland (D0057703) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1912976325
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSUMAN B RAOCredential: MD
Location Address9103 FRANKLIN SQUARE DRIVE, SUITE 2200Baltimore, MD 21237
Mailing Address9103 Franklin Square Drive, Suite 2200Baltimore, MD 21237 · (443) 777-7147
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1912976325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MD · D0057703
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
9103 FRANKLIN SQUARE DRIVE, Baltimore, MD 21237

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suman B 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 ID8022040708
PECOS Enrollment IDI20050901000729
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

3

Medicare enrollment records show Suman Rao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
849 FAIRMOUNT AVE STE 100B
Towson, MD 21286
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
Internal Medicine
900 CATON AVE
Baltimore, MD 21229
  • Reassigned Medicare billing, Maryland enrollment
  • 372 clinicians in this Medicare group
Surgery of the Hand
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • 194 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
116 services54 patients
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.
67 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services33 patients
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.
24 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

Other Providers at the Same Location NPPES

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

Internal Medicine (Gastroenterology)
9103 FRANKLIN SQUARE DRIVE, SUITE 303
BALTIMORE, MD 21237

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 Suman Rao's NPI number?

The NPI number for Suman Rao is 1912976325. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Suman Rao located?

Suman Rao practices at 9103 Franklin Square Drive Suite 2200, Baltimore, MD 21237. The listed phone number is (443) 777-7147.

What is Suman Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Suman Rao enrolled in Medicare?

Yes. Suman 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.

Which organizations bill Medicare for Suman Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suman Rao reassigns Medicare benefits to 3 organizations: Sinai Hospital Of Baltimore Inc (Towson, MD), St Agnes Healthcare Inc (Baltimore, MD) and Northwest Hospital Center, Inc (Randallstown, MD). 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 Suman Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Suman Rao affiliated with any hospitals?

According to CMS data, Suman Rao is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Suman Rao was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.