SANKU S RAO MD
NPI 1992864086
Internal Medicine - Gastroenterology in Enid, OK

Q: What is Sanku Rao's NPI number?

The NPI number for Sanku Rao is 1992864086. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Sanku Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sanku Rao was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment

22.11/100

CMS Quality Rating

330 S 5TH ST, SUITE 301, ENID, OK 73701(580) 234-0285(580) 234-0590 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sanku S Rao Md NPPES

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

SANKU S RAO MD (NPI 1992864086) is an individual gastroenterology provider in Enid, Oklahoma, licensed in Oklahoma (12331) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Bass Baptist Health Center, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1992864086

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSANKU S RAOCredential: MD

Location Address330 S 5TH ST, SUITE 301Enid, OK 73701-5825

Mailing Address330 S 5th St, Suite 301Enid, OK 73701-5825 · (580) 234-0285 · Fax (580) 234-0590

Phone(580) 234-0285

Fax(580) 234-0590

Sole ProprietorYes

Medical School CMSOtherGraduated 1969

Enumeration DateDecember 6, 2006

Last NPPES UpdateJanuary 25, 2011

✔ NPI 1992864086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OK · 12331

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

330 S 5TH ST, Enid, OK 73701

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Other Identifiers 2

Medicaid100014700AOK

Medicare UPIND35171OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Sanku S 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 ID4082880547

PECOS Enrollment IDI20120202000571

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 11

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 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.

317 services232 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.

152 services120 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

132 services129 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.

91 services91 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

67 services67 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

66 services66 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

57 services56 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

52 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

44 services43 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370016

Location600 South MonroeEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370026

Location305 South 5th StreetEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

22.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

73.7

Other Providers at the Same Location NPPES 17

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

NW OKLAHOMA PATHOLOGISTS-CLINIC

Clinical Medical Laboratory

330 S 5TH ST
ENID, OK 73701

Garfield County (580) 233-2611

SAINTS NEUROLOGY OF ENID

Neurological Surgery

330 S 5TH ST, SUITE 400
ENID, OK 73701

Garfield County (580) 242-2386

SAINTS MEDICAL GROUP

Dermatology

330 S 5TH ST, SUITE 400
ENID, OK 73701

Garfield County (580) 242-2386

KENNETH L WATTS MD PC

Surgery

330 S 5TH ST, SUITE 401
ENID, OK 73701

Garfield County (580) 233-9700

HOLLI DENISE SCHULTZ P.T.

Community Health Worker

330 S 5TH ST, STE 501
ENID, OK 73701

Garfield County (580) 233-6707

MOBILE IMAGING SOLUTIONS INC

Clinic/Center (Radiology, Mobile)

330 S 5TH ST, SUITE 404
ENID, OK 73701

Garfield County (580) 234-8202

KRISTI J STEINERT PAC

Physician Assistant

330 S 5TH ST, SUITE 400
ENID, OK 73701

Garfield County (580) 242-2386

H THOMAS SNYDER MD

Family Medicine

330 S 5TH ST, STE 202
ENID, OK 73701

Garfield County (580) 234-3320

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 Sanku Rao's NPI number?

The NPI number for Sanku Rao is 1992864086. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Sanku Rao located?

Sanku Rao practices at 330 S 5th St Suite 301, Enid, OK 73701. The listed phone number is (580) 234-0285.

What is Sanku Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sanku Rao enrolled in Medicare?

Yes. Sanku 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 Sanku Rao accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sanku 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 Sanku Rao affiliated with any hospitals?

According to CMS data, Sanku Rao is affiliated with Integris Bass Baptist Health Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sanku Rao was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.