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CHARUMATHI RATHNAKUMAR M.D
NPI 1023146370
Internal Medicine - Infectious Disease in Edison, NJ

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
35 PROGRESS ST, SUITE A-4, EDISON, NJ 08820(732) 514-9624(732) 377-3767 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Charumathi Rathnakumar M.d NPPES

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

CHARUMATHI RATHNAKUMAR M.D (NPI 1023146370) is an individual infectious disease provider in Edison, New Jersey, licensed in New Jersey (25MA07967300) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1023146370
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameCHARUMATHI RATHNAKUMARCredential: M.D
Location Address35 PROGRESS ST, SUITE A-4Edison, NJ 08820-1102
Mailing Address19 Scenic DrDayton, NJ 08810-1492 · (732) 438-6767 · Fax (732) 230-2479
Phone(732) 514-9624
Fax(732) 377-3767
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023146370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA07967300
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
35 PROGRESS ST, Edison, NJ 08820
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Other Names 1

Former Name (1)Charumathi Thirugnanam M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Charumathi Rathnakumar M.d 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 ID6709975105
PECOS Enrollment IDI20071208000081
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
815 services309 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
264 services239 patients
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.
179 services100 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

DR. LAWRENCE GUARINO M.D.
Internal Medicine
35 PROGRESS ST
EDISON, NJ 08820
Middlesex County (908) 754-9292

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 Charumathi Rathnakumar's NPI number?

The NPI number for Charumathi Rathnakumar is 1023146370. It was assigned to this individual provider in the NPPES registry on March 1, 2007. The provider is also known as Charumathi Thirugnanam M.D.

Where is Charumathi Rathnakumar located?

Charumathi Rathnakumar practices at 35 Progress St Suite A-4, Edison, NJ 08820. The listed phone number is (732) 514-9624.

What is Charumathi Rathnakumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Charumathi Rathnakumar enrolled in Medicare?

Yes. Charumathi Rathnakumar 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.

What insurance does Charumathi Rathnakumar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Charumathi Rathnakumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charumathi Rathnakumar affiliated with any hospitals?

According to CMS data, Charumathi Rathnakumar is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Charumathi Rathnakumar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.