AJAY KUMAR RANA MD
NPI 1609019942
Pediatrics - Pediatric Gastroenterology in Rochester, NY
About Ajay Kumar Rana Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJAY KUMAR RANA MD (NPI 1609019942) is an individual pediatric gastroenterology provider in Rochester, New York, licensed in New York (294726) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ajay Kumar 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ajay Rana reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
Buffalo, NY 14203
- Reassigned Medicare billing, New York enrollment
- 217 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 131 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Ajay Rana's NPI number?
The NPI number for Ajay Rana is 1609019942. It was assigned to this individual provider in the NPPES registry on April 16, 2009.
Where is Ajay Rana located?
Ajay Rana practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2647.
What is Ajay Rana's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Ajay Rana enrolled in Medicare?
Yes. Ajay 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.
Which organizations bill Medicare for Ajay Rana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Rana reassigns Medicare benefits to 4 organizations: University Of Rochester (Rochester, NY), Pediatric G I Nutrition (Rochester, NY), University At Buffalo Pediatric Associates Inc (Buffalo, NY) and Pediatric Service Group (Syracuse, NY). 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 Ajay Rana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajay Rana accept?
Health plans from Taro Health list Ajay Rana 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.
When was this NPI record last updated?
The NPPES record for Ajay Rana was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ajay Kumar Rana, MD · NPI 1609019942
Pediatric Gastroenterology physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 16, 2009.
## Identity
- **NPI:** 1609019942 (Entity type: Individual)
- **Enumerated:** April 16, 2009
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 294726 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-1683
- **Phone:** (585) 275-2647 · **Fax:** (585) 275-0707
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Rochester (NPI 1346285657, Rochester, NY); Pediatric G I Nutrition (NPI 1710918305, Rochester, NY); University At Buffalo Pediatric Associates Inc (NPI 1912928599, Buffalo, NY); Pediatric Service Group (NPI 1770539066, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609019942) · Data from the CMS NPPES public registry.