Poornima Rao, MD
NPI 1831395359 · Endocrinology, Diabetes & Metabolism Physician · Wexford, PA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Poornima Rao, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Wexford, PA (NPI 1831395359).
Provider details
- NPI number
- 1831395359
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD419873 (PA)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
521 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 | 342 | $122 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 54 | $173 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 54 | $77 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 21 | $162 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $88 |
| Hemoglobin A1c Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 62 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 615 | 175 |
| Semaglutidebrand: Ozempic | 382 | 92 |
| Levothyroxine Sodiumbrand: Synthroid | 363 | 91 |
| Metformin Hclbrand: Metformin Hcl Er | 298 | 95 |
| Metformin Hcl | 200 | 64 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 188 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$481 across 12 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
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2020-10-09
- Certified
- 2020-10-09
Frequently asked questions
- What is Poornima Rao's NPI number?
- Poornima Rao's National Provider Identifier (NPI) is 1831395359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Poornima Rao's specialty?
- Poornima Rao is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Poornima Rao located?
- Poornima Rao's practice location on file with NPPES is 12311 Perry Hwy, Wexford, PA 15090-8344.
- What is Poornima Rao's phone number?
- The practice phone number listed in the NPPES registry for Poornima Rao is (724) 941-7490.
- Does Poornima Rao accept Medicare?
- Poornima Rao is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Poornima Rao's NPI active?
- Yes — Poornima Rao's NPI (1831395359) is active in the NPPES registry as of the last update on 2020-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.