DR. VIJAY RAO MD
NPI 1982725180
Internal Medicine - Hematology & Oncology in Redding, CA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
97.75/100
CMS Quality Rating
963 BUTTE ST, REDDING, CA 96001(530) 245-5900(530) 245-5909 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2026, Jun 10, 2021, Dec 31, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Vijay Rao Md NPPES

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

DR. VIJAY RAO MD (NPI 1982725180) is an individual hematology & oncology provider in Redding, California, licensed in South Dakota (12270) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1982725180
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. VIJAY RAOCredential: MD
Location Address963 BUTTE STRedding, CA 96001-0828
Mailing Address963 Butte StRedding, CA 96001-0828 · (530) 245-5900 · Fax (530) 245-5909
Fax(530) 245-5909
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 3, 2007
Last NPPES UpdateJanuary 22, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1982725180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in SD · 12270
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.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 10514 (ND)
963 BUTTE ST, Redding, CA 96001

Other Names 1

Former Name (1)Dr. Vijay Rao Phooshkooru Md

Other Identifiers 3

Other10514ND · Nd License
OtherP00411459ND · Medicare Railroad
Medicaid14285ND

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

Dr. Vijay 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 ID7810095007
PECOS Enrollment IDI20190604000156, I20201214000294, I20251009002747
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 5

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 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.
226 services76 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.
54 services26 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.
41 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 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.
29 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

Chippewa County Hospital

Critical Access Hospitals · Montevideo, MN
OwnershipGovernment - Local
CMS Certification Number241325
Location824 North 11th StreetMontevideo, MN 56265 · Chippewa County
Emergency services

Madison Hospital

Critical Access Hospitals · Madison, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241372
Location820 Third AvenueMadison, MN 56256 · Lac Qui Parle County
Emergency services

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost93.34

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
60%420 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
37%238 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%59 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,642 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%1,715 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
29%193 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%564 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%1,266 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,266 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
43%1,266 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%1,266 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001
Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001
Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001
Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001
Surgery
963 BUTTE ST
REDDING, CA 96001
Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001
Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001
Radiology (Radiation Oncology)
963 BUTTE ST
REDDING, CA 96001

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 Vijay Rao's NPI number?

The NPI number for Vijay Rao is 1982725180. It was assigned to this individual provider in the NPPES registry on April 3, 2007. The provider is also known as Dr. Vijay Rao Phooshkooru MD.

Where is Vijay Rao located?

Vijay Rao practices at 963 Butte St, Redding, CA 96001. The listed phone number is (530) 245-5900.

What is Vijay Rao's specialty?

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

Is Vijay Rao enrolled in Medicare?

Yes. Vijay 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 Vijay Rao accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Vijay 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 Vijay Rao affiliated with any hospitals?

According to CMS data, Vijay Rao is affiliated with Alomere Health, Chippewa County Hospital, Madison Hospital and Prairie Lakes Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Vijay Rao was last updated on January 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.