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NISHA RAO M.D.
NPI 1730612672
Internal Medicine in East Windsor, NJ

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
89.61/100
CMS Quality Rating
557 US HIGHWAY 130, EAST WINDSOR, NJ 08520(609) 303-4480 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jul 11, 2023, Sep 30, 2021 (3 updates tracked since 2021).

About Nisha Rao M.d. NPPES

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

NISHA RAO M.D. (NPI 1730612672) is an individual internal medicine provider in East Windsor, New Jersey, licensed in New Jersey (25MA12071100) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Ohio State University College Of Medicine (2017).

NPPES Registry Identity

NPI1730612672
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNISHA RAOCredential: M.D.
Location Address557 US HIGHWAY 130East Windsor, NJ 08520-2624
Mailing Address557 Us Highway 130East Windsor, NJ 08520-2624 · (609) 303-4480
Phone(609) 303-4480
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1730612672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA12071100✔ Licensed in NY · 304678
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 ListedHospitalistTaxonomy 208M00000X · License 304678 (NY)
557 US HIGHWAY 130, East Windsor, NJ 08520
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Secondary Practice Location 1

Location 11275 York AveNew York, NY 10065-6007 · Phone (212) 639-2000

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

Nisha 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 ID1153669171
PECOS Enrollment IDI20240903002148
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 3

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 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.
306 services95 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.
77 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08520 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.

89.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Improvement Activities40

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 Nisha Rao's NPI number?

The NPI number for Nisha Rao is 1730612672. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Nisha Rao located?

Nisha Rao practices at 557 Us Highway 130, East Windsor, NJ 08520. The listed phone number is (609) 303-4480.

What is Nisha Rao's specialty?

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

Is Nisha Rao enrolled in Medicare?

Yes. Nisha 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.

When was this NPI record last updated?

The NPPES record for Nisha Rao was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.