DR. VANIE S RAMACHANDRA RAO MD
NPI 1003838723
Internal Medicine in Toms River, NJ

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
98.43/100
CMS Quality Rating
14 HOSPITAL DR, TOMS RIVER, NJ 08755(732) 244-3100 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2019, Dec 21, 2018 (2 updates tracked since 2018).

About Dr. Vanie S Ramachandra Rao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VANIE S RAMACHANDRA RAO MD (NPI 1003838723) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (MA07491200) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1003838723
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. VANIE S RAMACHANDRA RAOCredential: MD
Location Address14 HOSPITAL DRToms River, NJ 08755-6402
Mailing Address42 Hummingbird CtMarlboro, NJ 07746-2511 · (732) 797-2351
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 11, 20192 updates tracked since enumeration
NPI 1003838723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · MA07491200
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

14 HOSPITAL DR, Toms River, NJ 08755

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vanie S Ramachandra Rao Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951346881
PECOS Enrollment IDI20050725001065
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
4,020 services622 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
501 services462 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.87
Improvement Activities40

Reported Quality Measures

Advance Care Plan
80%429 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%533 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Registered Nurse
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Internal Medicine
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Hospitalist
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Occupational Therapist
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
14 HOSPITAL DR
TOMS RIVER, NJ 08755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanie Ramachandra Rao's NPI number?

The NPI number for Vanie Ramachandra Rao is 1003838723. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Vanie Ramachandra Rao located?

Vanie Ramachandra Rao practices at 14 Hospital Dr, Toms River, NJ 08755. The listed phone number is (732) 244-3100.

What is Vanie Ramachandra Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vanie Ramachandra Rao enrolled in Medicare?

Yes. Vanie Ramachandra Rao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Vanie Ramachandra Rao affiliated with any hospitals?

According to CMS data, Vanie Ramachandra Rao is affiliated with Community Medical Center, Ocean Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Vanie Ramachandra Rao was last updated on January 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.