RAJATH RAO (MD) – Diagnostic Radiology Physician, NPI 1164041083
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 DIAGNOSTIC RADIOLOGY in NY
Provider Addresses for RAJATH RAO (MD)
54 WATKINS AVE
STATEN ISLAND, NY 103121523
Phone: (201) 668-1540
Type: Mailing
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
Phone: (718) 226-8855
Type: Location
310 Salem Woodstown Rd
Salem, NJ 080792064
Phone: (856) 339-6054
Fax: (856) 935-6714
Type: Location
750 Brunswick Ave
Trenton, NJ 086384143
Phone: (609) 394-6000
Type: Location
1 Capital Way
Pennington, NJ 085342520
Phone: (609) 303-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251006002469 | I | Diagnostic Radiology | CA | TBD |
| I20251022001052 | I | Diagnostic Radiology | NY | TBD |
| I20251113000591 | I | Diagnostic Radiology | IL | TBD |
| I20260218002293 | I | Diagnostic Radiology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 10312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | CA | |
| Diagnostic Radiology | OH | |
| - | CA |
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