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NIRANJAN V RAO M.D.
NPI 1851350615
Specialist in Somerset, NJ

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
75 VERONICA AVENUE, SUITE 203, SOMERSET, NJ 08873(732) 249-0360(732) 249-0035 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niranjan V Rao M.d. NPPES

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

NIRANJAN V RAO M.D. (NPI 1851350615) is an individual specialist in Somerset, New Jersey, licensed in New Jersey (25MA0774500) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851350615
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNIRANJAN V RAOCredential: M.D.
Location Address75 VERONICA AVENUE, SUITE 203Somerset, NJ 08873-5002
Mailing Address75 Veronica Avenue, Suite 203Somerset, NJ 08873-5002 · (732) 249-0360 · Fax (732) 249-0035
Phone(732) 249-0360
Fax(732) 249-0035
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2006
Last NPPES UpdateDecember 31, 2019
✔ NPI 1851350615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA0774500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
75 VERONICA AVENUE, Somerset, NJ 08873
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Accepted Insurance

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

Niranjan V 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 ID143279570
PECOS Enrollment IDI20050112001026
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

4

Medicare enrollment records show Niranjan Rao reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Peter's University Hospital
2.5 mi
General Acute Care Hospital
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Saint Peters University Hospital
  • 325 clinicians in this Medicare group
NPI 1114924834 (732) 745-6651
Saint Peter's Healthcare System Physician Associates
2.6 mi
General Practice
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1548569361 (732) 745-6651
Wellspan Medical Group
85 mi
Family Medicine
770 BROAD ST
East Earl, PA 17519
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1265983613 (717) 445-4576
Dean Health Systems, Inc
789 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000

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 14

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
82 services81 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.
48 services42 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
36 services33 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services30 patients

Hospital Affiliations CMS Care Compare

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

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
23%39 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%39 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
41%254 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

LUCIANNA DIMEGLIO NP
Internal Medicine (Hematology & Oncology)
75 VERONICA AVENUE, SUITE 201
SOMERSET, NJ 08873
Somerset County (732) 246-4882
CENTRAL JERSEY SURGICAL SPECIALISTS, P.A.
Specialist
75 VERONICA AVENUE, SUITE 203
SOMERSET, NJ 08873
Somerset County (732) 249-0360

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 Niranjan Rao's NPI number?

The NPI number for Niranjan Rao is 1851350615. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Niranjan Rao located?

Niranjan Rao practices at 75 Veronica Avenue Suite 203, Somerset, NJ 08873. The listed phone number is (732) 249-0360.

What is Niranjan Rao's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Niranjan Rao enrolled in Medicare?

Yes. Niranjan 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 Niranjan Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niranjan Rao reassigns Medicare benefits to 4 organizations: Saint Peter's University Hospital (New Brunswick, NJ), Saint Peter's Healthcare System Physician Associates (New Brunswick, NJ), Wellspan Medical Group (East Earl, PA) and Dean Health Systems, Inc (Madison, WI). 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 Niranjan Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niranjan Rao accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Niranjan 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 Niranjan Rao affiliated with any hospitals?

According to CMS data, Niranjan Rao is affiliated with Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Niranjan Rao was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.