Individual provider Active NPI

Padmarekha B Rao, MD

  • Neurology Physician
  • Old Bridge, NJ
National Provider Identifier
1093851917
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA06766800 Issued in NJ
Practice address
14 Woodward Dr Ste a
Old Bridge, NJ 08857-3374
Phone
(732) 360-2888
Fax
(732) 360-4888
NPI assigned
Jan 29, 2007
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA06766800 NJ Primary

Addresses

Primary practice location

14 Woodward Dr Ste a
Old Bridge, NJ 08857-3374

Mailing address

14 Woodward Dr
Old Bridge, NJ 08857-3363
Phone (732) 360-2888

Other identifiers 1

IdentifierTypeStateIssuer
7748108MedicaidNJ

Other names 1

  • Dr. Rekha B Rao Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000595 NJ Practitioner - Neurology 3072403401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rekha Rao MD LLCGroup PAC ID 8426068123, 3 clinicians

Practice addresses (Care Compare)

14 Woodward Dr
Suite a
Old Bridge, NJ 08857-3374
Phone (732) 360-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06766800NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Mar 1, 2026 Accepting new patients
Rekha Rao MD LLC CurrentSince Mar 8, 2010 Accepting new patients
Bayshore Rehab Medicine, PC Past Accepting new patients
Tracy Tomaino, DC, LLC Past Accepting new patients
Robert Wood Johnson University Hospital Inc PastSince Jan 2, 2024 Accepting new patients

Locations

14 Woodward Dr
Ste A
Old Bridge, NJ 08857
Phone (732) 334-5800

3 Hospital Plz
Ste 404
Old Bridge, NJ 08857
Phone (732) 360-2888

Interoperability endpoints

  • Direct secure messaging: padmarekha.rao.1@21847.direct.athenahealth.com

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 7

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1093851917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573363",
            "telephone_number": "732-360-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR STE A",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573374",
            "telephone_number": "732-360-2888",
            "fax_number": "732-360-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "PADMAREKHA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA06766800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7748108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REKHA",
            "last_name": "RAO",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.