Ajay S. Rathore, M.D.
NPI 1023372679ActiveIndividual· Internal Medicine, Nephrology· Newport News, VA
Internal Medicine, Nephrology (M.D.) with Riverside Physician Services Inc, practicing in Newport News, Virginia. Their prescriptions cost Medicare Part D more than their services did: $241,233 for 1,680 claims, against $131,110 paid for services in 2024. Novartis Pharmaceuticals Corporation reported $113.88 in payments in 2025, mostly food and beverage. Lists Riverside Doctors' Hospital of Williamsburg and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023372679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 28, 2012 |
| Last updated in NPPES | Dec 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 0101261994 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 313 |
|---|---|
| Services billed | 1,087 across 19 procedure codes |
| Paid by Medicare | $131,110 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,680 · 4,019 30-day fills |
|---|---|
| Patients | 253 |
| Total drug cost | $241,233 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical group
- Riverside Physician Services IncWilliamsburg, VA · 797 clinicians
Hospital affiliations
- Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA
- Riverside Regional Medical CenterNewport News, VA
Other facilities
- Fresenius Medical Care DenbighDialysis facility · Newport News, VA
- Rai - Thimble Shoals-Newport NewsDialysis facility · Newport News, VA
- Rai-Chesapeake Ave-Newport NewsDialysis facility · Newport News, VA
- Rai-Riverside Rmc-Newport NewsDialysis facility · Hampton, VA
Industry payments (Open Payments)
- 2025$113.88 · 1 payment from 1 company
- 2024$125.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $113.88 | 1 |
What the 2025 payments were for
- Food and Beverage$113.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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