Physician Profile
Sowmika Rao, MD practices rheumatology in Cumming, GA. According to Medicare claims data, Sowmika cared for 49 Medicare patients across 51 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes, and hospital discharge day management, 30 minutes or less. The provider's National Provider Identifier (NPI) is 1356862254.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
102 MARY ALICE PARK RD STE 805
Cumming, GA 30040
120 Oakside Ct Ste C
Canton, GA 30114
Within Rheumatology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Autoimmune
Bone
Bone Health
Connective Tissue
Genetic & Connective Tissue
Inflammatory
Joints
Nerve & Tendon
Skin & Soft Tissue
Skin & Vascular
Soft Tissue
Spine & Back
Vascular
Most searched procedures
Consultation
Consultations
Diagnostics & Injections
Education & Support
Imaging
Injections
Lab & Diagnostics
Lab Work
Medication Management
Pain Relief
Regenerative Medicine
51 services · 49 patients · 3 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
23 | Less often than most peers in Rheumatology |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
16 | As often as other peers in Rheumatology |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
12 | Less often than most peers in Rheumatology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Rao is a rheumatologist in Cumming, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Rheumatology”.
NPI registry
Dr. Rao is listed at 102 Mary Alice Park Rd Ste 805, Cumming, GA 30040. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (770) 284-3150. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Rao's National Provider Identifier is 1356862254. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Rao attended Other, graduating in 2011. This comes from the CMS National Downloadable File.
CMS public data
Dr. Rao has 15 years experience. Calculated from a graduation year of 2011, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Rao the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Rao. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.