DR. RAHUL VERMA M.D.
NPI 1962815027
Radiology - Diagnostic Radiology in Allentown, PA

Q: What is Rahul Verma's NPI number?

The NPI number for Rahul Verma is 1962815027. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Q: What is Rahul Verma's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Rahul Verma was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment

83.7/100

CMS Quality Rating

1255 S CEDAR CREST BLVD STE 2500, ALLENTOWN, PA 18103(610) 770-1606 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2025, Sep 30, 2020, Jul 27, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Rahul Verma M.d. NPPES

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

DR. RAHUL VERMA M.D. (NPI 1962815027) is an individual diagnostic radiology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD469646) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newtown Square, and is a graduate of Temple University School Of Medicine (2014).

NPPES Registry Identity

NPI1962815027

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. RAHUL VERMACredential: M.D.

Location Address1255 S CEDAR CREST BLVD STE 2500Allentown, PA 18103-6240

Mailing Address1255 S Cedar Crest Blvd Ste 2500Allentown, PA 18103-6240 · (107) 701-6066

Phone(610) 770-1606

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 2014

Enumeration DateJune 6, 2014

Last NPPES UpdateFebruary 22, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2025

✔ NPI 1962815027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in PA · MD469646✔ Licensed in IL · 036.148117

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT206283 (PA)

1255 S CEDAR CREST BLVD STE 2500, Allentown, PA 18103

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Secondary Practice Location 1

Location 13475 W Chester PikeNewtown Square, PA 19073-4294 · Phone (610) 356-9030

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

Dr. Rahul Verma 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 ID941533186

PECOS Enrollment IDI20200521002804, I20260609002529

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

Medicare enrollment records show Rahul Verma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Imaging Of Lehigh Valley PC

0.4 mi

Diagnostic Radiology

1200 S CEDAR CREST BLVD
Allentown, PA 18103

Reassigned Medicare billing, Pennsylvania enrollment
122 clinicians in this Medicare group

NPI 1134178023 (610) 770-1606

Verma Radiology LLC

40 mi

Clinic/Center

3475 W CHESTER PIKE STE 240
Newtown Square, PA 19073

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1407672108 (484) 467-0636

Ohio County Hospital Corporation

648 mi

Mental Health (Including Community Mental Health Center)

1621 N MAIN ST
Beaver Dam, KY 42320

Reassigned Medicare billing, Kentucky enrollment
125 clinicians in this Medicare group

NPI 1740953603 (270) 274-9222

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 18

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

639 services639 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

638 services638 patients

Screening 3d breast mammography 77063

467 services467 patients

Screening mammography 77067

467 services467 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

134 services132 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

133 services130 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

113 services113 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

94 services94 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

75 services75 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

61 services61 patients

Limited ultrasound scan of 1 breast 76642

56 services56 patients

Diagnostic mammography of 1 breast 77065

35 services34 patients

Diagnostic mammography of both breasts 77066

34 services34 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

33 services33 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

31 services31 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

28 services28 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

23 services20 patients

Complete ultrasound scan of 1 breast 76641

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

83.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.34

Improvement Activities

Cost

59.72

Other Providers at the Same Location NPPES 6

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

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