Ajay Rathore, M.D.
NPI 1023372679 · Nephrology Physician · Newport News, VA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ajay Rathore, M.D. is a Nephrology Physician provider in Newport News, VA (NPI 1023372679).
Provider details
- NPI number
- 1023372679
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101261994 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,044 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 225 | $94 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 189 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 179 | $76 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 140 | $346 |
| Critical Care, First 30-74 Minutes99291 | 108 | $191 |
| Home Dialysis Services Per Month (20 Years Or Older)90966 | 55 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 173 | 63 |
| Furosemide | 162 | 66 |
| Carvedilol | 121 | 49 |
| Calcitriol | 107 | 34 |
| Torsemide | 86 | 33 |
| Losartan Potassium | 81 | 32 |
| Hydralazine Hcl | 71 | 27 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-28
- Last updated
- 2017-12-08
Frequently asked questions
- What is Ajay Rathore's NPI number?
- Ajay Rathore's National Provider Identifier (NPI) is 1023372679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ajay Rathore's specialty?
- Ajay Rathore is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Ajay Rathore located?
- Ajay Rathore's practice location on file with NPPES is 739 Thimble Shoals Blvd, Newport News, VA 23606-3562.
- What is Ajay Rathore's phone number?
- The practice phone number listed in the NPPES registry for Ajay Rathore is (757) 873-1009.
- Does Ajay Rathore accept Medicare?
- Ajay Rathore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ajay Rathore's NPI active?
- Yes — Ajay Rathore's NPI (1023372679) is active in the NPPES registry as of the last update on 2017-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.