SUNIL RAO M.D.
NPI 1972687861
Internal Medicine - Interventional Cardiology in Durham, NC

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2100 ERWIN RD, DURHAM, NC 27710(919) 620-4467 Get Directions Write a Review

NPPES record last updated: December 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunil Rao M.d. NPPES

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

SUNIL RAO M.D. (NPI 1972687861) is an individual interventional cardiology provider in Durham, North Carolina, licensed in North Carolina (9900329) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1972687861
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSUNIL RAOCredential: M.D.
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address2100 Erwin Rd, Duke University Medical Center - Dumc 3845Durham, NC 27710-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 15, 2019
NPI 1972687861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NC · 9900329
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 99-00329 (NC)
2100 ERWIN RD, Durham, NC 27710

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

Sunil 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 ID7315921160
PECOS Enrollment IDI20220913000274
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 6

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
100 services95 patients
Insertion of tube in coronary artery for diagnosis with review by radiologist 93454
This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
38 services37 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
36 services36 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
31 services27 patients
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978
This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
31 services28 patients
Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456
This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710

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 Sunil Rao's NPI number?

The NPI number for Sunil Rao is 1972687861. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Sunil Rao located?

Sunil Rao practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 620-4467.

What is Sunil Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sunil Rao enrolled in Medicare?

Yes. Sunil 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 Sunil Rao affiliated with any hospitals?

According to CMS data, Sunil Rao is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Sunil Rao was last updated on December 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.