Individual provider Active NPI

Bhavani Prakash Rao, MD

  • Nephrology Physician
  • Edison, NJ
National Provider Identifier
1790887909
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA06751900 Issued in NJ
Practice address
209 Pierson Ave
Edison, NJ 08837-3139
Phone
(908) 757-6655
Fax
(908) 757-6653
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA06751900 NJ Primary

Addresses

Primary practice location

209 Pierson Ave
Edison, NJ 08837-3139

Mailing address

PO Box 7187
Colonia, NJ 07067-7187
Phone (908) 757-6655

Other practice location 1

80 Hazlet Ave Ste 5
Hazlet, NJ 07730-1600
Phone (732) 264-5253

Other identifiers 1

IdentifierTypeStateIssuer
8159301MedicaidNJ

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
I20070905000088 NJ Practitioner - NephrologyPractitioner - Internal Medicine 7416040993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

209 Pierson Ave
Edison, NJ 08837-3139
Phone (908) 757-6655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06751900NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Kidney Care, LLC Nephrology CurrentSince May 1, 2007 Accepting new patients
Prudent Medical Associates, LLC Nephrology PastSince Mar 14, 2000 Accepting new patients
GK Health, PC Past Accepting new patients

Locations

209 Pierson Ave
Edison, NJ 08837
Phone (732) 549-3343

1819 Oak Tree Rd
Edison, NJ 08820
Phone (732) 230-2828

80 Hazlet Ave
Ste 5
Hazlet, NJ 07730
Phone (732) 264-5253

80 Hazlet Ave
Hazlet, NJ 07730
Phone (732) 264-1031

904 Oak Tree Ave
Ste I
South Plainfield, NJ 07080
Phone (908) 757-5900

Organizations & group practices 3

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 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1790887909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7187",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070677187",
            "telephone_number": "908-757-6655",
            "fax_number": "908-757-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PIERSON AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373139",
            "telephone_number": "908-757-6655",
            "fax_number": "908-757-6653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Hazlet Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301600",
            "country_code": "US",
            "telephone_number": "732-264-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "BHAVANI",
        "middle_name": "PRAKASH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06751900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8159301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.