HETAL RATHOD N.P
NPI 1003249913
Nurse Practitioner - Family in Cedar Park, TX

Q: What is Hetal Rathod's NPI number?

The NPI number for Hetal Rathod is 1003249913. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Q: What is Hetal Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Hetal Rathod was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment

1401 MEDICAL PKWY, B SUITE 407, CEDAR PARK, TX 78613(512) 249-7190 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hetal Rathod N.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETAL RATHOD N.P (NPI 1003249913) is an individual family provider in Cedar Park, Texas, licensed in Michigan (4704250945) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003249913

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHETAL RATHODCredential: N.P

Location Address1401 MEDICAL PKWY, B SUITE 407Cedar Park, TX 78613-7763

Mailing Address7800 Shoal Creek Blvd, Suite 205nAustin, TX 78757-1098 · (512) 206-4341

Phone(512) 249-7190

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 14, 2013

Last NPPES UpdateDecember 8, 2016

✔ NPI 1003249913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704250945

1401 MEDICAL PKWY, Cedar Park, TX 78613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hetal Rathod N.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416184833

PECOS Enrollment IDI20161012000039

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services86 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

22 services22 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number670043

Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

USACS CRITICAL CARE MEDICINE SERVICES OF TEXAS, PLLC

Internal Medicine (Critical Care Medicine)

1401 MEDICAL PKWY
CEDAR PARK, TX 78613

Williamson County (330) 493-4443

AUSTIN REGIONAL CLINIC, PA

Durable Medical Equipment & Medical Supplies

1401 MEDICAL PKWY, BLDG B, STE 220
CEDAR PARK, TX 78613

Williamson County (512) 260-1581

WILLIAMSON COUNTY PULMONARY & SLEEP STUDY ASSOCIATES PA

Internal Medicine (Pulmonary Disease)

1401 MEDICAL PKWY
CEDAR PARK, TX 78613

Williamson County (512) 452-8533

AUBREY CHAD HARTMANN, MD, PA

Dermatology

1401 MEDICAL PKWY, BUILDING B, SUITE 300
CEDAR PARK, TX 78613

Williamson County (512) 260-5860

SHELLEY KATHERINE COGDELL PA-C

Physician Assistant

1401 MEDICAL PKWY
CEDAR PARK, TX 78613

Williamson County (512) 528-7000

APARNA MUKKAMALA MD

Internal Medicine

1401 MEDICAL PKWY, BLDG B, #220
CEDAR PARK, TX 78613

Williamson County (512) 324-4083

HEATHER CALMES BYLANDER APRN, FNP-C

Nurse Practitioner (Primary Care)

1401 MEDICAL PKWY
CEDAR PARK, TX 78613

Williamson County (512) 528-7000

TESSA JAMES RD, LD

Dietitian, Registered

1401 MEDICAL PKWY
CEDAR PARK, TX 78613

Williamson County (515) 528-7191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetal Rathod's NPI number?

The NPI number for Hetal Rathod is 1003249913. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Hetal Rathod located?

Hetal Rathod practices at 1401 Medical Pkwy B Suite 407, Cedar Park, TX 78613. The listed phone number is (512) 249-7190.

What is Hetal Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hetal Rathod enrolled in Medicare?

Yes. Hetal Rathod is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hetal Rathod accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Hetal Rathod as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hetal Rathod affiliated with any hospitals?

According to CMS data, Hetal Rathod is affiliated with St David's Medical Center, Round Rock Medical Center and Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hetal Rathod was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.