Individual provider Active NPI

Nakul Niranjan Rao, M.D.

  • Vascular Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1184911752
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA10451600 Issued in NJ
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(215) 762-7000
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 25MA10451600 NJ Primary
Surgery Physician 208600000X MT196194 PA

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

511 N Broad St
Apt 704
Philadelphia, PA 19123-3230
Phone (732) 500-7245

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
I20210421000036 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 6103234711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peter'S Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

240 Easton Ave
TRD FL Attn Man Care
New Brunswick, NJ 08901-1723
Phone (732) 565-5453

254 Easton Ave
New Brunswick, NJ 08901-1766

75 Veronica Ave
Somerset, NJ 08873-5002
Phone (732) 249-0977

Hospital & facility affiliations

  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10451600NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Medical Associates of Englewood, PC Single Specialty CurrentSince Apr 26, 2022 Accepting new patients
Saint Peter'S University Hospital Single Specialty Current Accepting new patients
Saint Peter'S Healthcare System Physician Associates Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Podiatry & Ankle Center of Excellence, LLC Single Specialty PastSince Jun 1, 2021 Accepting new patients

Locations

350 Engle St
#2E
Englewood, NJ 07631
Phone (201) 227-5533

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
Fl 4
New Brunswick, NJ 08901
Phone (973) 993-7100

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

75 Veronica Ave
Ste 207
Somerset, NJ 08873

75 Veronica Ave
Ste 203
Somerset, NJ 08873
Phone (732) 249-0360

Interoperability endpoints

  • Direct secure messaging: nrao278696@direct.englewoodhealth.org
  • Direct secure messaging: nakul.rao.2@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nakul.rao.1@8568.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1184911752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N BROAD ST",
            "address_2": "APT 704",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233230",
            "telephone_number": "732-500-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "NAKUL",
        "middle_name": "NIRANJAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA10451600",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT196194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.