Nisha Rao, M.D.
Internal Medicine Physician · East Windsor, NJ
Nisha Rao, M.D. is an internal medicine physician with a practice address in East Windsor, New Jersey, and NPI 1730612672, issued on Apr 7, 2017. Check the license (New Jersey 25MA12071100, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Nisha Rao
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 25MA12071100 NJ
304678 NY
Self-reported in NPPES; status is on the state search - Practice location
- 557 US Highway 130, East Windsor, NJ 08520
- Phone
- (609) 303-4480
- Enumerated
- Apr 7, 2017
- Record last updated
- Aug 19, 2024
- Medicare enrollment
- Enrolled (PECOS I20240903002148); accepts Medicare assignment
- Medical or professional school
- Ohio State University College Of Medicine, 2017
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Verify Nisha Rao in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA12071100Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average internal medicine physician in 2024
35 Medicare Part D claims for 24 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
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 practice group's MIPS final score for 2023 (Medicare payment program): 84.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Capital Health Medical GroupEast Windsor, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nisha Rao among 4,632 internal medicine physician records in New Jersey
Nisha Rao, M.D. is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 82% of them.
- NPI issued2017 · 82% of these records are older, 16% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2017 · median 2000 among the 3,132 with a school on file
- Record last updated2024 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 internal medicine physician records list a practice address in East Windsor
They are 17 of the 321 NPPES records with a practice address in East Windsor, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in East Windsor → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Victoria Abellana, M.D.Hightstown, NJ 085201336157635
- Gabriela Bowers, M.D.East Windsor, NJ 085201316996853
- Ronald Dubow, M.D.East Windsor, NJ 085201861484255
- Ghalia Hanif, M.DEast Windsor, NJ 085201952556326
- Sunit Jariwala, MDEast Windsor, NJ 085201447411814
- Mark Kovarik, MDEast Windsor, NJ 085201881706265
- Farhan Malik, MDEast Windsor, NJ 085201437572468
- Rakesh Mangal, M.D.East Windsor, NJ 085201356305221
Common questions
What is Nisha Rao, M.D.'s NPI number?
Nisha Rao, M.D.'s National Provider Identifier (NPI) is 1730612672, issued on Apr 7, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Nisha Rao, M.D. located?
The NPPES record lists a practice address at 557 US Highway 130, East Windsor, NJ, 08520. Phone: (609) 303-4480. Providers update this record themselves, so call before visiting.
How can I verify Nisha Rao, M.D.'s license?
NPPES lists New Jersey license number 25MA12071100, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nisha Rao, M.D. prescribe under Medicare Part D?
In 2024, Nisha Rao, M.D. had 35 Medicare Part D claims for 24 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Nisha Rao, M.D.'s MIPS final score?
The 2023 MIPS final score is 84.5 of 100, reported for the practice group. 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.