NPIMap

Individual provider Active NPI

Nilesh Rana, MD

  • Internal Medicine Physician
  • Trenton, NJ
National Provider Identifier
1083660443
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA57241 Issued in NJ
Practice address
40 Fuld St
Suite 302
Trenton, NJ 08638-5247
Phone
(609) 537-7223
Fax
(609) 656-8845
NPI assigned
May 26, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA57241 NJ Primary

Addresses

Primary practice location

40 Fuld St
Suite 302
Trenton, NJ 08638-5247

Mailing address

40 Fuld St
Suite 302
Trenton, NJ 08638-5247
Phone (609) 393-0067

Other practice location 1

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 537-7223

Other identifiers 1

IdentifierTypeStateIssuer
6760708MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009000023 NJ Practitioner - Internal Medicine 0840235792 Reassigns benefits to 2 organizations
Practice locations: Ewing, NJ; Lawrenceville, NJ; Trenton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

1245 Whitehorse Mercerville Rd
Suite 418
Hamilton, NJ 08619-3831
Phone (609) 890-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA57241NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Clover Meadows Healthcare and Rehabilitation Center LLC Past Accepting new patients
Avalon Operator LLC Past Accepting new patients
Medical Rehabilitation Consultants,LLC Past Accepting new patients

Locations

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1083660443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "SUITE 302",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-393-0067",
            "fax_number": "609-393-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "SUITE 302",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-537-7223",
            "fax_number": "609-656-8845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-537-7223",
            "fax_number": "609-656-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANA",
        "first_name": "NILESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA57241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6760708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.