DR. RAJESH KUMAR VISHEN M.D.
NPI 1346240504
Internal Medicine in Orange Park, FL

Q: What is Rajesh Vishen's NPI number?

The NPI number for Rajesh Vishen is 1346240504. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Rajesh Vishen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rajesh Vishen was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

165 WELLS RD, ORANGE PARK, FL 32073(904) 264-3111(904) 264-3213 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Rajesh Kumar Vishen M.d. NPPES

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

DR. RAJESH KUMAR VISHEN M.D. (NPI 1346240504) is an individual internal medicine provider in Orange Park, Florida, licensed in Florida (ME0074218) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1346240504

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAJESH KUMAR VISHENCredential: M.D.

Location Address165 WELLS RDOrange Park, FL 32073-3035

Mailing Address165 Wells RdOrange Park, FL 32073-3035 · (904) 264-3111 · Fax (904) 264-3213

Phone(904) 264-3111

Fax(904) 264-3213

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 28, 2005

Last NPPES UpdateDecember 5, 2013

✔ NPI 1346240504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME0074218

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 ListedSpecialistTaxonomy 174400000X · License 510444005 (FL)

165 WELLS RD, Orange Park, FL 32073

Open in Google Maps ↗

Other Identifiers 4

Medicare PIN42388AFL

Medicaid253554800FL

Medicare PIN42388ZFL

Medicare UPING63015FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajesh Kumar Vishen 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 ID4688562564

PECOS Enrollment IDI20040402000934

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.

Medicare Billing Reassignments

Medicare enrollment records show Rajesh Vishen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

R K Vishen MD P A

1.4 mi

Internal Medicine

108 KINGSLEY AVE
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1912011511 (904) 388-3351

Northeast Florida Health Solution Inc.

11 mi

Internal Medicine

7901 JAMES ISLAND TRL
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
7 clinicians in this Medicare group

NPI 1891141925 (904) 388-2540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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, 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.

3,444 services454 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

1,914 services315 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,480 services398 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

699 services254 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.

341 services320 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.

176 services24 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

163 services153 patients

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.

133 services22 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

112 services75 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.

60 services57 patients

Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien G0182

This service involves a doctor overseeing a patient's care in a hospice, even when the patient isn't present. The doctor regularly creates or adjusts care plans, and reviews patient reports. This supervision is needed for complex, multidisciplinary treatments. It's part of ensuring quality care under Medicare's hospice benefit.

26 services25 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

22 services21 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

21 services20 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

18 services17 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100226

Location2001 Kingsley AveOrange Park, FL 32073 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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

Individually scored

Referred Medical Equipment & Supplies CMS DME claims 14

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), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier17 claims340 services$5.98 avg. paid by Medicare

Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416

DME-Orthotic Devices · category DF010N

1 supplier11 claims660 services$2.66 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier19 claims380 services$2.60 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

3 suppliers13 claims453 services$29.72 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

3 suppliers26 claims1,102 services$6.84 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

3 suppliers13 claims13 services$47.27 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 10

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

TERESA MICHELLE VAN METER

Developmental Therapist

165 WELLS RD
ORANGE PARK, FL 32073

Clay County (904) 269-3522

ADDISBELL ESPINOSA

Developmental Therapist

165 WELLS RD
ORANGE PARK, FL 32073

Clay County (904) 269-3522

VIKRAM BEHERA M.D.

Internal Medicine

165 WELLS RD
ORANGE PARK, FL 32073

Clay County (904) 264-3111

ALMANY PARSONS

Developmental Therapist

165 WELLS RD
ORANGE PARK, FL 32073

Clay County (904) 304-4527

DR. STEPHANIE MILNE PSY.D.

Clinical Neuropsychologist

165 WELLS RD, STE 304
ORANGE PARK, FL 32073

Clay County (904) 720-4040

CARLA A SCHLENKE ARNP

Nurse Practitioner (Psychiatric/Mental Health)

165 WELLS RD, SUITE 404
ORANGE PARK, FL 32073

Clay County (904) 264-3111

EBONY WASHINGTON

Developmental Therapist

165 WELLS RD
ORANGE PARK, FL 32073

Clay County (904) 269-3522

AAA MARINELLI HOME HEALTH AGENCY, INC D.B.A. HOME INSTEAD SENIOR CARE

Home Health

165 WELLS RD, SUITE 301
ORANGE PARK, FL 32073

Clay County (904) 215-8520

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 Vishen's NPI number?

The NPI number for Rajesh Vishen is 1346240504. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Rajesh Vishen located?

Rajesh Vishen practices at 165 Wells Rd, Orange Park, FL 32073. The listed phone number is (904) 264-3111.

What is Rajesh Vishen's specialty?

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

Is Rajesh Vishen enrolled in Medicare?

Yes. Rajesh Vishen 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.

Which organizations bill Medicare for Rajesh Vishen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Vishen reassigns Medicare benefits to 2 organizations: R K Vishen MD P A (Orange Park, FL) and Northeast Florida Health Solution Inc. (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajesh Vishen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajesh Vishen accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Rajesh Vishen 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 Vishen affiliated with any hospitals?

According to CMS data, Rajesh Vishen is affiliated with Baptist Health Medical Center - Jacksonville, Mayo Clinic and Hca Florida Orange Park Hospital.

When was this NPI record last updated?

The NPPES record for Rajesh Vishen was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.