Sowmika Rao, MD
NPI 1356862254ActiveIndividual· Internal Medicine, Rheumatology· Cumming, GA
Internal Medicine, Rheumatology (MD) in Cumming, Georgia, licensed in GA, with an NPI issued in June 2017. Their prescriptions cost Medicare Part D more than their services did: $92,270 for 937 claims, against $6,191 paid for services in 2024. Novartis Pharmaceuticals Corporation reported $112.38 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1356862254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 29, 2017 |
| Last updated in NPPES | Sep 3, 2026 |
| Certified by provider | Sep 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 111780 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (GA); Practitioner - Internal Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 109 across 18 procedure codes |
| Paid by Medicare | $6,191 |
Part D prescriptions in 2024
| Prescriptions (claims) | 937 · 2,104 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $92,270 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Rheumatology |
Industry payments (Open Payments)
- 2025$112.38 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $112.38 | 1 |
What the 2025 payments were for
- Food and Beverage$112.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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