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DR. MAITHILI V RAO M.D.
NPI 1366451098
Internal Medicine - Hematology & Oncology in Springfield, NJ

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
385 MORRIS AVE, SUITE 100, SPRINGFIELD, NJ 07081(973) 379-2111(973) 379-2807 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Maithili V Rao M.d. NPPES

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

DR. MAITHILI V RAO M.D. (NPI 1366451098) is an individual hematology & oncology provider in Springfield, New Jersey, licensed in New Jersey (25MA07920000) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1366451098
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MAITHILI V RAOCredential: M.D.
Location Address385 MORRIS AVE, SUITE 100Springfield, NJ 07081-1151
Mailing AddressPo Box 416457Boston, MA 02241-6457
Phone(973) 379-2111
Fax(973) 379-2807
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 23, 2016
✔ NPI 1366451098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NJ · 25MA07920000
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
385 MORRIS AVE, Springfield, NJ 07081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Maithili V Rao 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 ID5193898179
PECOS Enrollment IDI20080724000181
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 Reassignment

Medicare enrollment records show Maithili Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Practice Associates Medical Group
9.4 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250

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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
543 services292 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.
384 services231 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
288 services179 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
89 services89 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.
73 services72 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
68 services35 patients

Hospital Affiliations CMS Care Compare 5

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07081 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

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.

DR. CHARLESSE PONDT HUANNOU M.D.
Internal Medicine (Hematology & Oncology)
385 MORRIS AVE, 2ND FLOOR
SPRINGFIELD, NJ 07081
Union County (973) 379-2111
MRS. KIMBERLY J KOVAL RN, MSN, APN-C
Nurse Practitioner (Adult Health)
385 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 379-2111
KATHLEEN K ESCOBIA NP
Nurse Practitioner (Adult Health)
385 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 379-2111
NORTH JERSEY HAND SURGERY, PA
Orthopaedic Surgery (Hand Surgery)
385 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 664-9899
MRS. JENNIFER GRANDE CHIEPPA NP-C
Nurse Practitioner
385 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (733) 792-1119
DR. SE YOUNG HAN MD
Internal Medicine (Hematology & Oncology)
385 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 379-2111
MS. BETH ANNE BRENNER APN
Nurse Practitioner (Adult Health)
385 MORRIS AVE, SUITE 100
SPRINGFIELD, NJ 07081
Union County (973) 379-2111
PRACTICE ASSOCIATES MEDICAL GROUP
Non-Pharmacy Dispensing Site
385 MORRIS AVE, SUITE 100
SPRINGFIELD, NJ 07081
Union County (973) 379-2111

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 Maithili Rao's NPI number?

The NPI number for Maithili Rao is 1366451098. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Maithili Rao located?

Maithili Rao practices at 385 Morris Ave Suite 100, Springfield, NJ 07081. The listed phone number is (973) 379-2111.

What is Maithili Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Maithili Rao enrolled in Medicare?

Yes. Maithili 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.

Which organization bills Medicare for Maithili Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maithili Rao reassigns Medicare benefits to Practice Associates Medical Group (Morristown, NJ). The 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 Maithili Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maithili Rao accept?

Health plans from Oscar Health list Maithili Rao 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 Maithili Rao affiliated with any hospitals?

According to CMS data, Maithili Rao is affiliated with Morristown Medical Center, Chilton Medical Center, Overlook Medical Center, Centrastate Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Maithili Rao was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.