Active NPI
Nakul Niranjan Rao, M.D.
- Vascular Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA10451600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Robert Wood Johnson University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10451600 | NJ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Single Specialty | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Single Specialty | Current | Accepting new patients |
| Saint Peter'S University Hospital | Single Specialty | Current | Accepting new patients |
| Saint Peter'S Healthcare System Physician Associates | Single Specialty | Current | Accepting new patients |
| Podiatry & Ankle Center of Excellence, LLC | Single Specialty | Past | 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
- nrao278696@direct.englewoodhealth.org
- nakul.rao.2@8568.direct.athenahealth.com
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
- 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.
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
Single Specialty
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
Single Specialty
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Single Specialty
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.