Individual provider Active NPI

Rajath Rao, MD

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1164041083
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
340350 Issued in NY
Practice address
475 Seaview Ave
Staten Island, NY 10305-3436
Phone
(718) 226-8855
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 25MA12877000 NJ
Diagnostic Radiology Physician 2085R0202X 036172018 IL
Diagnostic Radiology Physician 2085R0202X 340350 NY Primary

Addresses

Primary practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

54 Watkins Ave
Staten Island, NY 10312-1523
Phone (201) 668-1540

Other practice location 1

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 2

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 3

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 339-6054

Other names 1

  • Rajath Rao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, IL, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20251006002469 CA Practitioner - Diagnostic Radiology 7719483908 Reassigns benefits to 5 organizations
I20251022001052 NY Practitioner - Diagnostic Radiology 7719483908 Reassigns benefits to 10 organizations
I20251113000591 IL Practitioner - Diagnostic Radiology 7719483908 Reassigns benefits to 2 organizations
I20260218002293 NJ Practitioner - Diagnostic Radiology 7719483908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

54 Watkins Ave
Staten Island, NY 10312-1523
Phone (209) 577-4444

931 Barry Dr W
Valley Stream, NY 11580-1565
Phone (510) 818-7411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036172018ILMDDiagnostic Radiology Physician
25MA12877000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Chicago, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Los Alamitos Radiology Group Inc Multi-Specialty CurrentSince Oct 8, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc Multi-Specialty CurrentSince Sep 15, 2025 Accepting new patients
Lodi Memorial Hospital Association, Inc Multi-Specialty Current Accepting new patients
Universal Radiology Partners of California PC Multi-Specialty CurrentSince Aug 2, 2025 Accepting new patients
Rockford Radiology Assoc Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2025 Accepting new patients
Integrated Imaging Consultants LLC Multi-Specialty CurrentSince Dec 17, 2025 Accepting new patients
Modesto Radiological Medical Group, Inc. Multi-Specialty CurrentSince Oct 17, 2025 Accepting new patients
Washington Radiologists Medical Group, Inc. Multi-Specialty CurrentSince Oct 8, 2025 Accepting new patients
Capital Health Multispecialty Group Multi-Specialty CurrentSince Feb 5, 2026 Accepting new patients
Placerville Radiology Medical Group Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Physicians Network Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
County of San Joaquin CurrentSince Oct 16, 2025 Accepting new patients
Insight Chicago, Inc. Multi-Specialty CurrentSince Sep 5, 2025 Accepting new patients
County of San Joaquin Multi-Specialty CurrentSince Oct 16, 2025 Accepting new patients
Adventist Health Physicians Network Multi-Specialty Current Accepting new patients
San Joaquin Faculty Medical Group Multi-Specialty CurrentSince Oct 16, 2025 Accepting new patients
West Valley Radiology Medical Group, Inc. Multi-Specialty CurrentSince Jan 25, 2026 Accepting new patients
Sutter Valley Medical Foundation Multi-Specialty Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

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

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

Interoperability endpoints

  • Direct secure messaging: rrao155528@direct.whhs.com

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 2

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1164041083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WATKINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121523",
            "telephone_number": "201-668-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-339-6054",
            "fax_number": "856-935-6714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "RAJATH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12877000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036172018",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "340350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJATH",
            "last_name": "RAO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.