1. Home
  2. Directory
  3. Massachusetts
  4. Southborough
  5. Internal Medicine
  6. NPI Profile

AMEE RATHOD M.D.
NPI 1043405442
Internal Medicine in Southborough, MA

Active since September 09, 2007PECOS EnrolledAccepts Medicare Assignment
24 NEWTON ST, SOUTHBOROUGH, MA 01772(508) 481-5500 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Sep 26, 2018 (2 updates tracked since 2018).

About Amee Rathod M.d. NPPES

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

AMEE RATHOD M.D. (NPI 1043405442) is an individual internal medicine provider in Southborough, Massachusetts, licensed in Massachusetts (229197) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2006).

NPPES Registry Identity

NPI1043405442
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAMEE RATHODCredential: M.D.
Location Address24 NEWTON STSouthborough, MA 01772-1215
Mailing Address291 Independence DrChestnut Hill, MA 02467-3628 · (617) 657-6430 · Fax (508) 453-8152
Phone(508) 481-5500
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2006
Enumeration DateSeptember 9, 2007
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1043405442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 229197
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
24 NEWTON ST, Southborough, MA 01772
Open in Google Maps ↗

Other Identifiers 1

Medicaid11084751MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Amee Rathod M.d. 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 ID9133275357
PECOS Enrollment IDI20090914000153
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
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.
21 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01772 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
28 suppliers77 claims279 services$5.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims34 services$0.63 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers194 claims194 services$186.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

FRANK CHAU M.D.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
HANNA MARGARET BERRY NP
Nurse Practitioner (Family)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-5500
CATHERINE ANNE LANG PHARMD
Pharmacist
24 NEWTON ST, WALGREENS PHARMACY
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-5323
JUSTIN NATHANIEL DORFMAN D.O.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
MARIJEAN LAMOUREAUX RD,LDN,CDE
Dietitian, Registered (Nutrition, Pediatric)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3100
DR. MAI CHU O.D.
Optometrist
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (084) 603-1505
GRACE C WINSHIP NP
Nurse Practitioner (Family)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
LAURA J. POLVINO M.A., LMHC
Counselor (Mental Health)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-5500

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 Amee Rathod's NPI number?

The NPI number for Amee Rathod is 1043405442. It was assigned to this individual provider in the NPPES registry on September 9, 2007.

Where is Amee Rathod located?

Amee Rathod practices at 24 Newton St, Southborough, MA 01772. The listed phone number is (508) 481-5500.

What is Amee Rathod's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amee Rathod enrolled in Medicare?

Yes. Amee 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 Amee Rathod accept?

Health plans from Anthem Blue Cross and Blue Shield list Amee 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 Amee Rathod affiliated with any hospitals?

According to CMS data, Amee Rathod is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Amee Rathod was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.