NILESH RANA MD
NPI 1083660443
Internal Medicine in Trenton, NJ

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
40 FULD ST, SUITE 302, TRENTON, NJ 08638(609) 537-7223(609) 656-8845 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2021, Dec 19, 2018 (2 updates tracked since 2018).

About Nilesh Rana Md NPPES

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

NILESH RANA MD (NPI 1083660443) is an individual internal medicine provider in Trenton, New Jersey, licensed in New Jersey (MA57241) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains a secondary practice location in Trenton.

NPPES Registry Identity

NPI1083660443
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNILESH RANACredential: MD
Location Address40 FULD ST, SUITE 302Trenton, NJ 08638-5247
Mailing Address40 Fuld St, Suite 302Trenton, NJ 08638-5247 · (609) 393-0067 · Fax (609) 393-4943
Fax(609) 656-8845
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateMay 26, 2006
Last NPPES UpdateJune 28, 20212 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1083660443 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 · MA57241
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.

40 FULD ST, Trenton, NJ 08638

Secondary Practice Location 1

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 537-7223 · Fax (609) 656-8845

Other Identifiers 1

Medicaid6760708NJ

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

Nilesh Rana 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 ID840235792
PECOS Enrollment IDI20131009000023
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 4

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 nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
1,929 services217 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
838 services210 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
207 services149 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
77 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier21 claims460 services$4.76 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier20 claims313 services$9.44 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims18 services$38.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$17.17 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$43.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$89.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Surgery (Trauma Surgery)
40 FULD ST, SUITE 303
TRENTON, NJ 08638
Internal Medicine
40 FULD ST, STE 302
TRENTON, NJ 08638
Internal Medicine (Pulmonary Disease)
40 FULD ST, SUITE 201
TRENTON, NJ 08638
Internal Medicine (Infectious Disease)
40 FULD ST, STE 305
TRENTON, NJ 08638
Surgery
40 FULD ST, SUITE 200
TRENTON, NJ 08638
Internal Medicine
40 FULD ST, SUITE 201
TRENTON, NJ 08638

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 Nilesh Rana's NPI number?

The NPI number for Nilesh Rana is 1083660443. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Nilesh Rana located?

Nilesh Rana practices at 40 Fuld St Suite 302, Trenton, NJ 08638. The listed phone number is (609) 537-7223.

What is Nilesh Rana's specialty?

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

Is Nilesh Rana enrolled in Medicare?

Yes. Nilesh Rana 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 Nilesh Rana affiliated with any hospitals?

According to CMS data, Nilesh Rana is affiliated with Cape Regional Medical Center Inc and Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Nilesh Rana was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.