Anshul Rao, MD
NPI 1811036817 · Rheumatology Physician · Clayton, NC
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anshul Rao, MD is a Rheumatology Physician provider in Clayton, NC (NPI 1811036817).
Provider details
- NPI number
- 1811036817
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012-01192 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
202 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $120 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 29 | $157 |
Typical Medicare-allowed amounts for these services range $120–$157 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 227 | 57 |
| Hydroxychloroquine Sulfate | 189 | 59 |
| Prednisone | 158 | 51 |
| Methylprednisolone | 43 | 27 |
| Pantoprazole Sodium | 31 | — |
| Upadacitinibbrand: Rinvoq | 25 | — |
| Adalimumab |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$348 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 225 Brightwater Dr Ste 230Lillington, NC 27546-5156Phone: (910) 965-7190
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Frequently asked questions
- What is Anshul Rao's NPI number?
- Anshul Rao's National Provider Identifier (NPI) is 1811036817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anshul Rao's specialty?
- Anshul Rao is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Anshul Rao located?
- Anshul Rao's practice location on file with NPPES is 34 Healthpark Way Ste 100c, Clayton, NC 27520-4497.
- What is Anshul Rao's phone number?
- The practice phone number listed in the NPPES registry for Anshul Rao is (919) 585-8850.
- Does Anshul Rao accept Medicare?
- Anshul Rao is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anshul Rao's NPI active?
- Yes — Anshul Rao's NPI (1811036817) is active in the NPPES registry as of the last update on 2025-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.