NISHA RAO M.D.
NPI 1730612672
Internal Medicine in East Windsor, NJ
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nisha Rao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 581 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 514 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.
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.
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.
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.
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.
Which organizations bill Medicare for Nisha Rao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Rao reassigns Medicare benefits to 3 organizations: Capital Health Medical Group (Trenton, NJ), Memorial Medical Consultation Group (New York, NY) and Memorial Solid Tumor Group (New York, 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 Nisha Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisha Rao accept?
Health plans from Ambetter Health and Oscar Health list Nisha 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.
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 2 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.
# Nisha Rao, M.D. · NPI 1730612672
Internal Medicine physician in East Windsor, New Jersey. Individual provider, active in the CMS NPPES registry since April 7, 2017.
## Identity
- **NPI:** 1730612672 (Entity type: Individual)
- **Enumerated:** April 7, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA12071100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 557 US HIGHWAY 130, East Windsor, NJ 08520-2624
- **Phone:** (609) 303-4480
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Capital Health Medical Group (NPI 1437516887, Trenton, NJ); Memorial Medical Consultation Group (NPI 1053382523, New York, NY); Memorial Solid Tumor Group (NPI 1699746172, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1730612672) · Data from the CMS NPPES public registry.