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BHAVANI PRAKASH RAO MD
NPI 1790887909
Internal Medicine - Nephrology in Edison, NJ

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
209 PIERSON AVE, EDISON, NJ 08837(908) 757-6655(908) 757-6653 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bhavani Prakash Rao Md NPPES

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

BHAVANI PRAKASH RAO MD (NPI 1790887909) is an individual nephrology provider in Edison, New Jersey, licensed in New Jersey (25MA06751900) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Hazlet.

NPPES Registry Identity

NPI1790887909
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameBHAVANI PRAKASH RAOCredential: MD
Location Address209 PIERSON AVEEdison, NJ 08837-3139
Mailing AddressPo Box 7187Colonia, NJ 07067-7187 · (908) 757-6655 · Fax (908) 757-6653
Phone(908) 757-6655
Fax(908) 757-6653
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1790887909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA06751900
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
209 PIERSON AVE, Edison, NJ 08837
Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Hazlet Ave Ste 5Hazlet, NJ 07730-1600 · Phone (732) 264-5253

Other Identifiers 1

Medicaid8159301NJ

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

Bhavani Prakash Rao 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.

PECOS PAC ID7416040993
PECOS Enrollment IDI20070905000088
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 Bhavani Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine And Kidney Care, LLC
Same address
Nephrology
209 PIERSON AVE
Edison, NJ 08837
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1215140801 (908) 757-6655

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 10

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 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.
510 services94 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
83 services11 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
33 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
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.
23 services15 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims4,770 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,650 services$0.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.52 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims19 services$11.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CORY C AYER LICENSED PROSTHETIST
Prosthetic/Orthotic Supplier
209 PIERSON AVE
EDISON, NJ 08837
Middlesex County (173) 254-9334
INTERNAL MEDICINE AND KIDNEY CARE, LLC
Internal Medicine (Nephrology)
209 PIERSON AVE
EDISON, NJ 08837
Middlesex County (908) 757-6655
ZALAK SONI
Physical Therapy Assistant
209 PIERSON AVE
EDISON, NJ 08837
Middlesex County (732) 319-7765
MR. JAMES C BAUMAN C.O.
Orthotist
209 PIERSON AVE
EDISON, NJ 08837
Middlesex County (732) 549-3343

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 Bhavani Rao's NPI number?

The NPI number for Bhavani Rao is 1790887909. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Bhavani Rao located?

Bhavani Rao practices at 209 Pierson Ave, Edison, NJ 08837. The listed phone number is (908) 757-6655.

What is Bhavani Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Bhavani Rao enrolled in Medicare?

Yes. Bhavani 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 Bhavani Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhavani Rao reassigns Medicare benefits to Internal Medicine And Kidney Care, LLC (Edison, 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 Bhavani Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhavani Rao accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Bhavani 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 Bhavani Rao affiliated with any hospitals?

According to CMS data, Bhavani Rao is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Bhavani Rao was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.