Pratibha P. Rao, MD
NPI 1346231263ActiveIndividual· General Practice· Montclair, NJ
General Practice (MD) with Valley Physician Services PC, practicing in Montclair, New Jersey. In 2024 Medicare paid $99,923 for 507 patients, and Part D covered 240 of their prescriptions, 88% of them generic. Lists Valley Hospital as a hospital affiliation.
Overview
| NPI | 1346231263 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 31, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 25MA07823300 | NJ |
| Internal Medicine | 207R00000X | 25MA07823300 | NJ |
| Hospitalist | 208M00000X | 25MA07823300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 507 |
|---|---|
| Services billed | 1,072 across 11 procedure codes |
| Paid by Medicare | $99,923 |
Part D prescriptions in 2024
| Prescriptions (claims) | 240 · 250 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $16,937 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Hospitalist |
Medical group
- Valley Physician Services PCReading, PA · 592 clinicians
Hospital affiliation
- Valley HospitalParamus, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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