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

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: August 09, 2026.

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

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
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

Secondary Practice Location 1

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

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

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
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 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
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.
467 services467 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.
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

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
Quality92.34
Improvement Activities40
Cost59.72

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN, PA 18103
Radiology (Diagnostic Radiology)
1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN, PA 18103
Radiology (Diagnostic Radiology)
1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN, PA 18103
Radiology (Body Imaging)
1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN, PA 18103

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 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.

Where is Rahul Verma located?

Rahul Verma practices at 1255 S Cedar Crest Blvd Ste 2500, Allentown, PA 18103. The listed phone number is (610) 770-1606.

What is Rahul Verma's specialty?

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

Is Rahul Verma enrolled in Medicare?

Yes. Rahul Verma 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 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 17 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.