ANIL RATHI M.D.
NPI 1215321492
Internal Medicine in Austin, TX

Q: What is Anil Rathi's NPI number?

The NPI number for Anil Rathi is 1215321492. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Anil Rathi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anil Rathi was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 25, 2015PECOS EnrolledAccepts Medicare Assignment

919 E 32ND ST, AUSTIN, TX 78705(512) 740-6696 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Anil Rathi M.d. NPPES

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

ANIL RATHI M.D. (NPI 1215321492) is an individual internal medicine provider in Austin, Texas, licensed in Texas (R7093) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215321492

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameANIL RATHICredential: M.D.

Location Address919 E 32ND STAustin, TX 78705

Mailing Address919 E 32nd StAustin, TX 78705-2703

Phone(512) 740-6696

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 25, 2015

Last NPPES UpdateAugust 6, 2018

✔ NPI 1215321492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · R7093

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.

919 E 32ND ST, Austin, TX 78705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anil Rathi 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 ID244589877

PECOS Enrollment IDI20180815002086

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 Reassignments

Medicare enrollment records show Anil Rathi reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ch Specialty Services Tx PLLC

2.1 mi

Family

800 W 5TH ST
Austin, TX 78703

Reassigned Medicare billing, Texas enrollment
234 clinicians in this Medicare group

NPI 1306225701 (337) 991-9276

Curana Health Medical Group LLC

7.0 mi

Internal Medicine

8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759

Reassigned Medicare billing, Texas enrollment
338 clinicians in this Medicare group

NPI 1255640678 (337) 991-9276

Lonestar Pat Associates PA

15 mi

Hospitalist

2400 ROUND ROCK AVE
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
206 clinicians in this Medicare group

NPI 1811594203 (512) 341-1000

Ipc Healthcare Services Of Texas, PLLC

71 mi

Hospitalist

7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
688 clinicians in this Medicare group

NPI 1023403011 (210) 344-7287

Hospitalist Medicine Physicians Of Texas, PLLC

148 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

Lonestar Hospital Medicine Associates, PA

161 mi

Hospitalist

2700 E BROAD ST
Mansfield, TX 76063

Reassigned Medicare billing, Texas enrollment
994 clinicians in this Medicare group

NPI 1518237429 (682) 622-2000

Cogent Healthcare Of Texas, PA

187 mi

Internal Medicine

8200 WALNUT HILL LN
Dallas, TX 75231

Reassigned Medicare billing, Texas enrollment
1,208 clinicians in this Medicare group

NPI 1992722953 (214) 345-7585

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

847 services210 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

223 services108 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

189 services163 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

100 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

97 services55 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

56 services50 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%31 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP

Anesthesiology