MR. RAJESH A DHIRMALANI DO
NPI 1073522819
Internal Medicine in Union, NJ

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
1308 MORRIS AVE, SUITE 102, UNION, NJ 07083(908) 851-2770(908) 851-9023 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Rajesh A Dhirmalani Do NPPES

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

MR. RAJESH A DHIRMALANI DO (NPI 1073522819) is an individual internal medicine provider in Union, New Jersey, licensed in Washington (OP00001803) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073522819
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. RAJESH A DHIRMALANICredential: DO
Location Address1308 MORRIS AVE, SUITE 102Union, NJ 07083
Mailing Address1308 Morris Ave, Suite 102Union, NJ 07083 · (908) 851-2770 · Fax (908) 851-9023
Fax(908) 851-9023
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1073522819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WA · OP00001803 Licensed in NJ · 25MB07250700
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.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 25MB07250700 (NJ)
1308 MORRIS AVE, Union, NJ 07083

Accepted 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

Mr. Rajesh A Dhirmalani Do 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 ID9537051156
PECOS Enrollment IDI20040331000341
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 7

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.

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.
153 services94 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
39 services39 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services15 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
13 services13 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 07083 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.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.58
Improvement Activities40
Cost45.46

Other Providers at the Same Location NPPES 13

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

Chiropractor
1308 MORRIS AVE, SUITE 201
UNION, NJ 07083
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE 202
UNION, NJ 07083
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE 102
UNION, NJ 07083
Physician Assistant
1308 MORRIS AVE
UNION, NJ 07083
Specialist
1308 MORRIS AVE, 204
UNION, NJ 07083
Anesthesiology (Pain Medicine)
1308 MORRIS AVE
UNION, NJ 07083
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE 102
UNION, NJ 07083
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE102
UNION, NJ 07083

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 Rajesh Dhirmalani's NPI number?

The NPI number for Rajesh Dhirmalani is 1073522819. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Rajesh Dhirmalani located?

Rajesh Dhirmalani practices at 1308 Morris Ave Suite 102, Union, NJ 07083. The listed phone number is (908) 851-2770.

What is Rajesh Dhirmalani's specialty?

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

Is Rajesh Dhirmalani enrolled in Medicare?

Yes. Rajesh Dhirmalani 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 Rajesh Dhirmalani accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rajesh Dhirmalani 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 Rajesh Dhirmalani affiliated with any hospitals?

According to CMS data, Rajesh Dhirmalani is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Rajesh Dhirmalani was last updated on July 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.