Dr Ajay S Rathore, MD - Medicare Nephrology in Newport News, VA

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Dr Ajay S Rathore, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Newport News, Virginia. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Riverside Physician Services Inc and his current practice location is 739 Thimble Shoals Blvd, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 873-1009.

Dr Ajay S Rathore is licensed to practice in Virginia (license number 0101261994) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023372679.

Contact Information

Dr Ajay S Rathore, MD
739 Thimble Shoals Blvd,
Newport News, VA 23606-3562
(757) 873-1009
(757) 873-7689

Map and Direction




Physician's Profile

Full NameDr Ajay S Rathore
GenderMale
SpecialityNephrology
Experience25 Years
Location739 Thimble Shoals Blvd, Newport News, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ajay S Rathore graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1023372679
  • Provider Enumeration Date: 06/28/2012
  • Last Update Date: 12/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3577834993
  • Enrollment ID: I20170803001663

Medical Identifiers

Medical identifiers for Dr Ajay S Rathore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023372679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 0101261994 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rai - Mercury Blvd-hamptonHampton, VADialysis facility
Rai - South Church-smithfieldSmithfield, VADialysis facility
Rai - Thimble Shoals-newport NewsNewport news, VADialysis facility
Fmc - DenbighNewport news, VADialysis facility
Riverside Regional Medical CenterNewport news, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside Physician Services Inc5092608448743

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ajay S Rathore allows following entities to bill medicare on his behalf.
Entity NameRiverside Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194929026
PECOS PAC ID: 5092608448
Enrollment ID: O20040207000400

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ajay S Rathore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ajay S Rathore, MD
856 J Clyde Morris Blvd Ste A,
Newport News, VA 23601-1318

Ph: (757) 316-5800		Dr Ajay S Rathore, MD
739 Thimble Shoals Blvd,
Newport News, VA 23606-3562

Ph: (757) 873-1009

Reviews and Comments


Internal Medicine Doctors in Newport News, VA

Carl Anthony Gibson, M.D.
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Phone: 757-534-5909    Fax: 757-534-5911
Dr. Megan Brooke Mcgavern, D.O.
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Practice Location: 12652 Jefferson Ave, Newport News, VA 23602
Phone: 757-234-4285    Fax: 757-234-4260
Muhammad Z Rizwan, MD
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Phone: 757-534-5454    
Dr. Edward S Pak, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 12200 Warwick Blvd Ste 290, Newport News, VA 23601
Phone: 757-534-5454    Fax: 757-534-5491
Dr. Ashutosh Subhash Naniwadekar, MBBS
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Practice Location: 101 Philip Roth St # 5a, Newport News, VA 23606
Phone: 757-599-6333    
Dr. Hemchand Ramberan, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 12200 Warwick Blvd Ste 490, Newport News, VA 23601
Phone: 757-599-6333    Fax: 757-591-7261

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.