| Corinne Sundar Rao, MD | |
|
201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014-2513 | |
| (816) 655-5403 | |
| (816) 655-5257 |
| Full Name | Corinne Sundar Rao |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 37 Years |
| Location | 201 Nw R D Mize Rd Ste 206, Blue Springs, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255325643 | NPI | - | NPPES |
| P00244830 | Other | MO | RAILROAD MEDICARE |
| 205212608 | Medicaid | MO | |
| 008013557 | Other | MO | MEDICARE PTAN |
| 106490 | Other | MO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 106490 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 106490 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hannibal Regional Hospital | Hannibal, MO | Hospital |
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cole Physician Services Llc | 0648420810 | 25 |
| Hannibal Regional Healthcare System Inc | 1254236300 | 227 |
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Hannibal Regional Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003956095 PECOS PAC ID: 1254236300 Enrollment ID: O20031203000229 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306885587 PECOS PAC ID: 9436041696 Enrollment ID: O20040325000339 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740363 PECOS PAC ID: 9436041696 Enrollment ID: O20040401000307 |
| Entity Name | Cole Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144578659 PECOS PAC ID: 0648420810 Enrollment ID: O20121024000296 |
| Entity Name | Prime Healthcare Kansas City - Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427449487 PECOS PAC ID: 7315267325 Enrollment ID: O20150514001835 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20190327000077 |
| Entity Name | Hni Medical Services Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659943975 PECOS PAC ID: 6002214343 Enrollment ID: O20211018000994 |
| Mailing Address | Practice Location Address |
|---|---|
| Corinne Sundar Rao, MD 120 Hospital Dr, Lebanon, MO 65536 Ph: (417) 533-6100 | Corinne Sundar Rao, MD 201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014-2513 Ph: (816) 655-5403 |