GAUTAM RAO DO
NPI 1962934547
Radiology - Vascular & Interventional Radiology in San Antonio, TX

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
92.71/100
CMS Quality Rating
603 E AMBER ST STE 103, SAN ANTONIO, TX 78221(210) 660-5040(210) 660-5045 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Sep 19, 2024, Jun 15, 2023 and 1 more (4 updates tracked since 2017).

About Gautam Rao Do NPPES

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

GAUTAM RAO DO (NPI 1962934547) is an individual vascular & interventional radiology provider in San Antonio, Texas, licensed in Texas (S1898) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1962934547
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameGAUTAM RAOCredential: DO
Location Address603 E AMBER ST STE 103San Antonio, TX 78221-2456
Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901
Fax(210) 660-5045
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2017
Enumeration DateApril 1, 2017
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1962934547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses Licensed in TX · S1898 Licensed in AZ · 010219
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
603 E AMBER ST STE 103, San Antonio, TX 78221

Secondary Practice Locations 5

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-3555 · Fax (210) 702-4239
Location 21919 S Shiloh Rd Ste 400Garland, TX 75042-8211 · Phone (469) 320-1267 · Fax (945) 242-8020
Location 36036 N 19th Ave Ste 204Phoenix, AZ 85015-2104 · Phone (480) 616-0356 · Fax (480) 616-0603
Location 4603 E Amber St Ste 101San Antonio, TX 78221-2456 · Phone (210) 660-5040 · Fax (210) 660-5045
Location 5600 E Amber St., Ste 107San Antonio, Texas 78221 · Phone (210) 660-5040 · Fax (210) 660-5045

Accepted 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

Gautam Rao Do 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 ID7810264355
PECOS Enrollment IDI20230721001870
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 19

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
960 services11 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
225 services213 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
41 services41 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
33 services33 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services20 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450002
Location2001 N Oregon StEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number670120
Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78221 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

92.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.42
Improvement Activities40

Other Providers at the Same Location NPPES

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

Radiology (Vascular & Interventional Radiology)
603 E AMBER ST STE 103
SAN ANTONIO, TX 78221

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 Gautam Rao's NPI number?

The NPI number for Gautam Rao is 1962934547. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Gautam Rao located?

Gautam Rao practices at 603 E Amber St Ste 103, San Antonio, TX 78221. The listed phone number is (210) 660-5040.

What is Gautam Rao's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Gautam Rao enrolled in Medicare?

Yes. Gautam 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 Gautam Rao accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Gautam 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 Gautam Rao affiliated with any hospitals?

According to CMS data, Gautam Rao is affiliated with The Hospitals Of Providence - Memorial Campus, Las Palmas Medical Center A Campus Of Lpds Healthc, Sierra Medical Center, The Hospitals Of Providence - East Campus and The Hospitals Of Providence Transmountain Campus.

When was this NPI record last updated?

The NPPES record for Gautam Rao was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.