Ajay S. Rathore, M.D.
Nephrology Physician · Newport News, VA
Ajay S. Rathore, M.D. is a nephrology physician with a practice address in Newport News, Virginia, and NPI 1023372679, issued on Jun 28, 2012. Check the license (Virginia 0101261994, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Ajay S. Rathore
- Credential
- M.D.
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 0101261994 VA
Self-reported in NPPES; status is on the state search - Practice location
- 739 Thimble Shoals Blvd, Newport News, VA 23606
- Phone
- (757) 873-1009
- Enumerated
- Jun 28, 2012
- Record last updated
- Dec 8, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (757) 873-7689
- Medicare enrollment
- Enrolled (PECOS I20170803001663); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 739 Thimble Shoals Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ramchandur Bakhtiani, MBBS, MDNephrology Physician1952563454
- Melisha Bissram, MDNephrology Physician1942417183
- Freda Bouchelaghem, LCSWProfessional Counselor1346117157
- Valerie Brazzale-Russell, LPCProfessional Counselor1225802598
- Holli BrileyBehavior Technician1013712967
- Lisa ByrdProfessional Counselor1487427027
Verify Ajay S. Rathore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101261994Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
15% more Medicare Part D claims than the average nephrology physician in 2024
1,680 Medicare Part D claims for 253 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Amlodipine Besylate173 claims
- Furosemide162 claims
- Carvedilol121 claims
- Calcitriol107 claims
- Torsemide86 claims
- Losartan Potassium81 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $125.00
1 payment: food and beverage; the largest payer was Amgen Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Riverside Physician Services IncNewport News, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nephrology Physician providers in Virginia
There are 327 nephrology physician records in Virginia.
Other nephrology physician records in Virginia
- Emaad Abdel-RahmanCharlottesville, VA1164591780
- Walid Abou Assi, M.D.Richmond, VA1003867433
- Christopher Acker, M.D.Richmond, VA1053319426
- Oscar Adler, M.D., PHDLeesburg, VA1700874138
- Aurangzeb Afzal, MDRichmond, VA1477437689
- Muhammad Sohaib Afzal, MD, MBBSRichmond, VA1780412130
- Haidr Agha, M.D.Virginia Beach, VA1003048117
- Shahram Ahmadzadeh, M.D.Roanoke, VA1265489504
- Arslan Ahmed, MDFredericksburg, VA1295295301
- Adedoyin Akintide, MDHaymarket, VA1518142991
Common questions
What is Ajay S. Rathore, M.D.'s NPI number?
Ajay S. Rathore, M.D.'s National Provider Identifier (NPI) is 1023372679, issued on Jun 28, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Ajay S. Rathore, M.D. located?
The NPPES record lists a practice address at 739 Thimble Shoals Blvd, Newport News, VA, 23606. Phone: (757) 873-1009. Providers update this record themselves, so call before visiting.
How can I verify Ajay S. Rathore, M.D.'s license?
NPPES lists Virginia license number 0101261994, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ajay S. Rathore, M.D. prescribe under Medicare Part D?
In 2024, Ajay S. Rathore, M.D. had 1,680 Medicare Part D claims for 253 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Ajay S. Rathore, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.