Dr. Goutham Rao
Family Medicine

Address: 11100 Euclid Ave, Cleveland, OH 44106-1716
Phone: 2168443944

Dr. Goutham Rao (NPI# 1023086550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1023086550
Entity Type Individual
Full Name Dr. Goutham Rao
Credential MD
Gender Male
Practice Address 11100 Euclid Ave
Cleveland
OH 44106-1716
Practice Telephone 2168443944
Mailing Address 20800 Harvard Rd
2nd Floor
Highland Hills
OH 44122-7251
Mailing Telephone 2163582315
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-10
Last Update Date 2016-06-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 35.128248 OH

Other Provider Identifier

State Identifier Issuer Type Code
PA 101115820 MEDICAID

Physician Overview

NPI 1023086550
PAC ID by PECOS 5395647242
Professional Enrollment ID I20160718001564
Full Name Goutham Rao
Organization Legal Name UNIVERSITY HOSPITALS MEDICAL GROUP INC
Phone Number 2168441000
Gender M
Credential MD
Graduation Year 1993
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 4789682493
Number of Group Practice Members 1102
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360137 UNIVERSITY HOSPITALS OF CLEVELAND

Office Location

Street Address 11100 EUCLID AVE
City CLEVELAND
State OH
Zip Code 44106-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518438084 Kanyike Ian Joseph Bwete Otolaryngology 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-10
1437621091 Kelly Nicole Black Nurse Anesthetist, Certified Registered 11100 Euclid Ave, Anesthesia Dept, Cleveland, OH 44106-5007 2018-12-20
1205307170 Marjorie Malone Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-17
1275004889 Jill Winegardner Psychologist 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-07
1215408836 Devin Robert Ockerman Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-07
1821569443 Lee Devinney-boymel Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-07
1538639232 Teresa Carter Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-26
1235609934 Mario Gavan Manacci Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-26
1356810303 Jordan Marie Moore Physician Assistant 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-20
1336618867 Christopher Biros Pharmacy 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962977439 Karim Basta Student in an Organized Health Care Education/Training Program 2124 Cornell Rd., Cleveland, OH 44106 2018-10-10
1376024323 Katie Tyler Hawkins Dietitian, Registered 11100 Euclid Ave Ste 1600, Cleveland, OH 44106 2018-08-28
1295220754 Mohammad Alhomoud Student in an Organized Health Care Education/Training Program University Hospital 11100 Euclid Avenue 6223, 1, Cleveland, OH 44106 2018-06-27
1891288460 Gina Suozzi Dietitian, Registered 12482 Cedar Rd, Cleveland Heights, OH 44106 2018-06-08
1720584782 Shubhra Upadhyay Student in an Organized Health Care Education/Training Program University Hospital Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106 2018-03-30
1245732726 James Ankeny Social Worker 11101 Magnolia Dr., Cleveland, OH 44106 2018-03-01
1124535752 Jamie Parham Counselor 1905 East 89th Street, Cleveland, OH 44106 2018-01-04
1619483864 Nina P Booker Behavior Analyst 2070 E. 90th, P-57, Cleveland, OH 44106 2017-12-26
1447765680 Cleanita Coleman Home Health 11210 Orville Avenue, Cleveland, OH 44106 2017-12-11
1851818405 Angela Patterson Counselor 1909 E. 89th St., Cleveland, OH 44106 2017-08-24
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235519166 Michelle Caster Family Medicine 11100 Euclid Ave # B200, Cleveland, OH 44106 2015-06-05
1437545720 Keisha Danielle Sullivan Family Medicine 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 2015-04-13
1356747679 Rmi Holding Corporation, Inc Family Medicine 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 2014-11-13
1104250448 Aaron Doss Samuel Family Medicine 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 2013-08-22
1801135892 Robert Bellamy Family Medicine 673 Alpha Dr Ste C, Cleveland, OH 44143-2140 2013-02-11
1154680924 Prakash Rufus Ganesh Family Medicine Neighborhood Family Practice, 3569 Ridge Road, Cleveland, OH 44102 2012-05-14
1730474040 Muna Michelle Orra Family Medicine 3820 Superior Avenue, Cleveland, OH 44114-3333 2011-06-15
1780983437 Dominic M King Family Medicine 7010 Engle Rd, Cleveland, OH 44130-8401 2011-03-21
1508178773 Cathy Krosky Family Medicine 20637 Emerald Pkwy, Cleveland, OH 44135-6023 2010-07-05
1376787556 Bolivar Physician Practices LLC Family Medicine 218 N Pearman Ave, Cleveland, MS 38732-2634 2009-05-01
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Competitor

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City CLEVELAND
Zip Code 44106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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