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RACHNA GULATI M.D.
NPI 1104823640
Pediatrics in North Port, FL

Active since June 30, 2005PECOS Enrolled
6950 OUTREACH WAY, NORTH PORT, FL 34287(901) 825-7297(941) 861-3829 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rachna Gulati M.d. NPPES

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

RACHNA GULATI M.D. (NPI 1104823640) is an individual pediatrics provider in North Port, Florida, licensed in Florida (ME-89934) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Venice.

NPPES Registry Identity

NPI1104823640
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRACHNA GULATICredential: M.D.
Location Address6950 OUTREACH WAYNorth Port, FL 34287-3405
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Phone(901) 825-7297
Fax(941) 861-3829
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateFebruary 24, 2020
✔ NPI 1104823640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME-89934
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6950 OUTREACH WAY, North Port, FL 34287
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Secondary Practice Location 1

Location 1145 Miami Ave EVenice, FL 34285-2407 · Phone (941) 408-0088 · Fax (941) 480-0006

Other Identifiers 1

Medicaid2697963-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachna Gulati M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rachna Gulati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smh Physician Services Inc
26 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34287 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 13

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

DR. EUSEBIO P. GONZALES M.D.
Specialist
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 861-2900
MS. DAWN MARIE FITZPATRICK RN
Registered Nurse
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (863) 494-8106
CENTERPLACE HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 529-0200
MRS. GERLINE SAINVAL-AUGUSTIN ARNP-BC
Nurse Practitioner (Family)
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 861-3820
RILEY N SCHWARZ PA
Physician Assistant
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 529-0200
FLORIDA DEPARTMENT OF HEALTH
Pharmacy (Community/Retail Pharmacy)
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 861-3828
KAREN BAPST APRN
Nurse Practitioner (Primary Care)
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 529-0200
CAROLINE HAIDINGER PA
Physician Assistant
6950 OUTREACH WAY
NORTH PORT, FL 34287
Sarasota County (941) 529-0200

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 Rachna Gulati's NPI number?

The NPI number for Rachna Gulati is 1104823640. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Rachna Gulati located?

Rachna Gulati practices at 6950 Outreach Way, North Port, FL 34287. The listed phone number is (901) 825-7297.

What is Rachna Gulati's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rachna Gulati enrolled in Medicare?

Yes. Rachna Gulati is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachna Gulati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachna Gulati reassigns Medicare benefits to Smh Physician Services Inc (Sarasota, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachna Gulati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachna Gulati accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Rachna Gulati 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.

When was this NPI record last updated?

The NPPES record for Rachna Gulati was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.