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RASHA ABDDELGADER M.B.B.S.
NPI 1316566201
Pathology - Anatomic Pathology & Clinical Pathology in Austin, TX

Active since April 11, 2020PECOS EnrolledAccepts Medicare Assignment
12357 RIATA TRACE PKWY STE A210, AUSTIN, TX 78727(786) 748-3812(210) 342-6725 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Jun 28, 2025, Apr 11, 2020 (3 updates tracked since 2020).

About Rasha Abddelgader M.b.b.s. NPPES

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

RASHA ABDDELGADER M.B.B.S. (NPI 1316566201) is an individual anatomic pathology & clinical pathology provider in Austin, Texas, licensed in Texas (V7173) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1316566201
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameRASHA ABDDELGADERCredential: M.B.B.S.
Location Address12357 RIATA TRACE PKWY STE A210Austin, TX 78727-7168
Mailing Address2008 Westvalley PlRound Rock, TX 78665-5011 · (813) 484-3870
Phone(786) 748-3812
Fax(210) 342-6725
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 11, 2020
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1316566201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · V7173
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
12357 RIATA TRACE PKWY STE A210, Austin, TX 78727
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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, CHRISTUS Health Plan, Harbor Health 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 and accepts Medicare assignment

Rasha Abddelgader M.b.b.s. 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 ID2860911005
PECOS Enrollment IDI20250521002116
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 Rasha Abddelgader reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Austin Pathology Associates
2.5 mi
Anatomic Pathology & Clinical Pathology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 107 clinicians in this Medicare group
NPI 1669414330 (512) 901-1215

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

Hospital Affiliations CMS Care Compare 2

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

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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.

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 Rasha Abddelgader's NPI number?

The NPI number for Rasha Abddelgader is 1316566201. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Rasha Abddelgader located?

Rasha Abddelgader practices at 12357 Riata Trace Pkwy Ste A210, Austin, TX 78727. The listed phone number is (786) 748-3812.

What is Rasha Abddelgader's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Rasha Abddelgader enrolled in Medicare?

Yes. Rasha Abddelgader 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.

Which organization bills Medicare for Rasha Abddelgader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rasha Abddelgader reassigns Medicare benefits to Austin Pathology Associates (Austin, TX). 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 Rasha Abddelgader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rasha Abddelgader accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Harbor Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Rasha Abddelgader 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 Rasha Abddelgader affiliated with any hospitals?

According to CMS data, Rasha Abddelgader is affiliated with St David's Medical Center and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Rasha Abddelgader was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.