NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1922365568
Verify on CMS → Parth Rao
Hematology (Internal Medicine) Physician in Danville, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,483 in Hematology (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
93
Medicare Part D claims · 32 beneficiaries · Hematology (Internal Medicine) Physician avg: 684
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Parth Rao filed 93 Medicare Part D claims in 2024 as a Hematology (Internal Medicine) Physician in Danville, Pennsylvania, prescribing 52% generic.
- 93
- Part D claims, 2024
- 52%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Parth Rao
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1922365568), first enumerated 04/20/2012.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 93 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
5 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Parth Rao's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1922365568 · Hematology (Internal Medicine) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1922365568
- ENUM-MID 2012
- TAX-NARROW 1,483
- RX-TRACE 93
- BOOK-THIN 70 in Pennsylvania
- PHOTO-ENUM Kapil Sankar Melevee… · 2012
Parth Rao's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
93 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Parth Rao practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 5 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Parth Rao?
Quality data not reportedPrimary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
93 86% vs specialty avg
Specialty distribution in Pennsylvania
How Hematology (Internal Medicine) Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Hematology (Internal Medicine) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1922365568 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Gender | Male |
| NPI Issued | 04/20/2012 |
Hospital and facility affiliations
Facilities where Parth Rao bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, Parth Rao is affiliated with 5 Medicare-billing facilities across 3 states.
Barnabas Health Medical Group PC
Long Branch, NJ
Fayette Physician Network Inc
Uniontown, PA
Holzer Clinic LLC
Gallipolis, OH
Marion Area Physicians LLC
Kenton, OH
Ohiohealth Corporation
Delaware, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Parth Rao. To verify Parth Rao's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Parth Rao - brand share 48.0%
Hematology (Internal Medicine) Physician average
48% brand-name claims vs 52% generic, on 93 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
93
Total Claims
$114K
Total Drug Cost
32
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 101.667
- Total Day Supply
- 2,340
- Brand vs Generic
- 48% brand / 52% generic
- Brand Drug Cost
- $96K
- Generic Drug Cost
- $18K
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 2.61
- Gender Split
- 66% female / 34% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Anastrozole | 14 |
| Retacrit Epoetin Alfa-Epbx | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hematology (Internal Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Hematology (Internal Medicine) Physician Overview
How Parth Rao fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,483
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
684
Avg Claims per Provider
Parth Rao's 93 claims are below the specialty average of 684.
Nationwide Hematology (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Rao, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hematology (Internal Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Rao.
One of 70 Hematology (Internal Medicine) Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Hamid Al-Mondhiry
MD
Hershey, PA
Dr. Jane Alavi
MD
Philadelphia, PA
Dr. Nadia Ali
M.D.
Philadelphia, PA
Dr. Yull Arriaga
MD
Bethlehem, PA
Dr. Saleh Ayache
M.D.
Philadelphia, PA
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Parth Rao's specialty? ▼
Parth Rao specializes in Hematology (Internal Medicine) Physician and practices in Danville, Pennsylvania.
How much does Parth Rao prescribe under Medicare Part D? ▼
In 2024, Parth Rao wrote 93 Medicare Part D claims totaling $114K in drug costs for 32 beneficiaries.
Where is Parth Rao located? ▼
Parth Rao is located at 100 N ACADEMY AVE, Danville, PA, 17822. Phone: (570) 271-6045.
What is Parth Rao's NPI number? ▼
Parth Rao's National Provider Identifier (NPI) is 1922365568, issued on 04/20/2012.
Does Parth Rao prescribe more brand-name or generic drugs? ▼
Parth Rao's prescribing is 48% brand-name and 52% generic drugs by claim count, with $96K in brand drug costs.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,483 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 684 Medicare Part D claims per year.
What drugs does Parth Rao prescribe most often? ▼
Based on 2024 Medicare Part D data, Parth Rao's most frequently prescribed drugs include Anastrozole, Retacrit. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Parth Rao accept Medicare? ▼
Parth Rao appears in CMS Medicare data with 93 Part D claims and 32 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Parth Rao's credentials? ▼
Parth Rao's NPI is 1922365568. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.