Dr Sunder R Rao, MD - Medicare Cardiovascular Disease (cardiology) in Butler, PA

Dr Sunder R Rao, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Butler, Pennsylvania. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Butler Medical Providers and his current practice location is 127 Oneida Valley Rd, Suite 400, Butler, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (866) 620-6761.

Dr Sunder R Rao is licensed to practice in Pennsylvania (license number MD046955L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164497293.

Contact Information

Dr Sunder R Rao, MD
127 Oneida Valley Rd, Suite 400,
Butler, PA 16001-2239
(866) 620-6761
(724) 282-3043

Map and Direction




Physician's Profile

Full NameDr Sunder R Rao
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience42 Years
Location127 Oneida Valley Rd, Butler, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sunder R Rao graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1164497293
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 04/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9537057542
  • Enrollment ID: I20040310000072

Medical Identifiers

Medical identifiers for Dr Sunder R Rao such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164497293NPI-NPPES
1445759OtherHIGHMARK BLUE SHIELD
011301466MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD046955L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Butler Memorial HospitalButler, PAHospital
Clarion HospitalClarion, PAHospital
Upmc JamesonNew castle, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Butler Medical Providers7416840160308

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sunder R Rao allows following entities to bill medicare on his behalf.
Entity NameButler Medical Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619493046
PECOS PAC ID: 7416840160
Enrollment ID: O20040205000830
Entity NameIrmc Bhs Multispecialty Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821541640
PECOS PAC ID: 4486932753
Enrollment ID: O20161021000605

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sunder R Rao is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sunder R Rao, MD
Po Box 1549,
Butler, PA 16003-1549

Ph: (724) 284-4060
Dr Sunder R Rao, MD
127 Oneida Valley Rd, Suite 400,
Butler, PA 16001-2239

Ph: (866) 620-6761

Reviews and Comments


Internal Medicine Doctors in Butler, PA

Uzma Shahzad, MD
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Sanjeev Suri, M.D
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Dr. Donald Arthur Walters, D.O.
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John Reefer, M.D.
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Dr. Thomas B. Pinto, M.D.
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Phone: 866-620-6761    Fax: 724-283-3043
Dr. Stephanie L Clark, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Hospital Way, Butler, PA 16001
Phone: 724-285-0823    Fax: 724-285-0879
Dr. Jessica Marie Buriak, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 480 E Jefferson St, Butler, PA 16001
Phone: 724-431-0633    Fax: 724-431-0428

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.