DR. GITA RAO MD
NPI 1427285063
Pediatrics in Portland, ME
NPI Status: Active since June 22, 2009
Contact Information
180 PARK AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 874-2141
Fax: (207) 874-2164
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About GITA RAO
This page provides the complete NPI Profile along with additional information for Gita Rao, a pediatrician established in Portland, Maine with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1427285063 assigned on June 2009. The practitioner's primary taxonomy code is 208000000X with license number 241342 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1427285063
- Provider Name
- DR. GITA RAO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 180 PARK AVE PORTLAND, ME 04102
- Location Phone
- (207) 874-2141
- Location Fax
- (207) 874-2164
- Mailing Address
- 180 PARK AVE PORTLAND, ME 04102
- Mailing Phone
- (207) 874-2141
- Mailing Fax
- (207) 874-2164
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2009
- Last Update Date
- 01-25-2018
- Code Navigator
A pediatrician like Gita Rao is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 241342
- License State
- MA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gita Rao is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.72
- Minimum New Patient Price $56.28
- Maximum New Patient Price $169.96
- Average New Patient Copayment $21.68
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $42.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.18
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $138.92
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $34.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. GITA RAO MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 2 | 8 | 5 | 0 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 4 | 8 | 10 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 4 + 8 + 1 + 0 + 0 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1427285063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861453748 | MS. LORI RUMERY NP Individual | Nurse Practitioner | 180 PARK AVE INTERNAL MEDICINE ASSOCIATES PORTLAND, ME 04102 (207) 773-1400 |
| 1659421956 | MAUREEN SZE MD Individual | Pediatrics | 180 PARK AVE PORTLAND, ME 04102 (207) 772-3703 |
| 1225269582 | LAUREN RACHEL ROSE-COHEN RN Individual | Registered Nurse | 180 PARK AVE PORTLAND, ME 04102 (207) 874-8784 |
| 1386950970 | ERIN D SAVEALL RN Individual | Registered Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1083919039 | ALICE M MERRITT RN Individual | Registered Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1831497031 | ELIZABETH A. MANN RN Individual | Registered Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1932474095 | ABHSIRO ALI RN Individual | Registered Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1154697183 | VALERIE ANNE BRAMBLE RN Individual | Registered Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1184986465 | TIFFANY A BOURQUE RN Individual | Registered Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1215290788 | RENEE D LOWELL LPN Individual | Licensed Practical Nurse | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1689925810 | MUSE Y ALI MSW Individual | Social Worker (Clinical) | 180 PARK AVE FIRST FLOOR PORTLAND, ME 04102 (207) 874-2141 |
| 1891710844 | DR. ALISON CARRIE GORMAN M.D. Individual | Family Medicine | 180 PARK AVE PORTLAND COMMUNITY HEALTH CENTER PORTLAND, ME 04102 (207) 874-2141 |
| 1972779593 | MS. MARIANNE E. DONAHUE L.C.S.W. Individual | Social Worker (Clinical) | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
| 1023372117 | MR. PETER O'DONNELL NP Individual | Nurse Practitioner | 180 PARK AVE PORTLAND, ME 04102 (207) 828-2402 |
| 1457354540 | DR. CARRIE FROST MD Individual | Pediatrics | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
| 1215325584 | KIRA MAAS SAWYER LMSW-CC Individual | Social Worker (Clinical) | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
| 1497070155 | OLGA ALICEA LCSW Individual | Social Worker (Clinical) | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
| 1609139161 | MR. RYAN J TROSPER PA Individual | Physician Assistant | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
| 1861585036 | MR. PHILIP C GAGE NP Individual | Nurse Practitioner (Family) | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
| 1578621520 | MS. JENNIFER A ROGERS NP-C Individual | Nurse Practitioner (Family) | 180 PARK AVE PORTLAND, ME 04102 (207) 874-2141 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427285063, enumerated in the NPI registry as an "individual" on June 22, 2009
The provider is located at 180 Park Ave Portland, Me 04102 and the phone number is (207) 874-2141
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.72 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $99.18 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 22, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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