JONATHAN RATHOD MD
NPI 1174987267
Internal Medicine - Pulmonary Disease in Mount Pleasant, WI
About Jonathan Rathod Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN RATHOD MD (NPI 1174987267) is an individual pulmonary disease provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (69453) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Accepted 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
Jonathan Rathod Md 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIRipon Medical Center
Critical Access Hospitals · Ripon, WIWaupun Memorial Hospital
Critical Access Hospitals · Waupun, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
RACINE, WI 53405
RACINE, WI 53405
RACINE, WI 53405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174987267, enumerated as an "individual" on April 05, 2016.
The provider is located at 3803 SPRING ST MOUNT PLEASANT, WI 53405 and the phone number is (262) 687-5236.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Network Health. Please consult your insurance carrier or call the provider to verify.
Jonathan Rathod is affiliated with: ST. AGNES HOSPITAL HOSPICE, RIPON MEDICAL CENTER and WAUPUN MEMORIAL HOSPITAL.
