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USHA NIRANJAN M.D.
NPI 1396733077
Internal Medicine - Medical Oncology in Red Bank, NJ

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1 RIVERVIEW PLZ FL 2, RED BANK, NJ 07701(732) 576-8610(908) 813-8342 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2024, Dec 14, 2022 (2 updates tracked since 2022).

About Usha Niranjan M.d. NPPES

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

USHA NIRANJAN M.D. (NPI 1396733077) is an individual medical oncology provider in Red Bank, New Jersey, licensed in New Jersey (25MA05386700) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and maintains a secondary practice location in Pennington.

NPPES Registry Identity

NPI1396733077
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameUSHA NIRANJANCredential: M.D.
Location Address1 RIVERVIEW PLZ FL 2Red Bank, NJ 07701-1864
Mailing Address3600 Route 66 Fl 3Neptune, NJ 07753-2645 · (732) 807-0877 · Fax (201) 751-1680
Phone(732) 576-8610
Fax(908) 813-8342
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 7, 2005
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1396733077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NJ · 25MA05386700
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedSpecialistTaxonomy 174400000X · License 25MA05386700 (NJ)
1 RIVERVIEW PLZ FL 2, Red Bank, NJ 07701
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Capital Way Ste 220Pennington, NJ 08534-2523 · Phone (609) 303-0747

Other Identifiers 1

Medicaid3456005NJ

Accepted Insurance

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

Usha Niranjan 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 ID8325936214
PECOS Enrollment IDI20040310001150
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

3

Medicare enrollment records show Usha Niranjan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Cancer Care Associates LLC
1.3 mi
Clinical Medical Laboratory
180 WHITE RD STE 106
Little Silver, NJ 07739
  • Reassigned Medicare billing, New Jersey enrollment
  • 247 clinicians in this Medicare group
NPI 1770284820 (732) 889-8420
Hackensack Meridian Health Medical Group - Specialty Care PC
2.0 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Capital Health Medical Group
37 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829

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

Hospital Affiliations CMS Care Compare 2

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

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

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 07701 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 Usha Niranjan's NPI number?

The NPI number for Usha Niranjan is 1396733077. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Usha Niranjan located?

Usha Niranjan practices at 1 Riverview Plz Fl 2, Red Bank, NJ 07701. The listed phone number is (732) 576-8610.

What is Usha Niranjan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Usha Niranjan enrolled in Medicare?

Yes. Usha Niranjan 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 Usha Niranjan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usha Niranjan reassigns Medicare benefits to 3 organizations: Regional Cancer Care Associates LLC (Little Silver, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Capital Health Medical Group (Trenton, NJ). 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 Usha Niranjan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Usha Niranjan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Usha Niranjan 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 Usha Niranjan affiliated with any hospitals?

According to CMS data, Usha Niranjan is affiliated with Kona Community Hospital and Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Usha Niranjan was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.