KARL ERIC RATHJEN MD
NPI 1336101492
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Dallas, TX
About Karl Eric Rathjen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARL ERIC RATHJEN MD (NPI 1336101492) is an individual pediatric orthopaedic surgery provider in Dallas, Texas, licensed in Texas (J0216) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karl Eric Rathjen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Karl Rathjen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Dallas, TX 75219
- Reassigned Medicare billing, Texas enrollment
- 28 clinicians in this Medicare group
Dallas, TX 75219
- Reassigned Medicare billing, Texas enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
DALLAS, TX 75390
DALLAS, TX 75390
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 Karl Rathjen's NPI number?
The NPI number for Karl Rathjen is 1336101492. It was assigned to this individual provider in the NPPES registry on April 4, 2006.
Where is Karl Rathjen located?
Karl Rathjen practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3065.
What is Karl Rathjen's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.
Is Karl Rathjen enrolled in Medicare?
Yes. Karl Rathjen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karl Rathjen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Rathjen reassigns Medicare benefits to 3 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), Pedi-Ortho Health Corporation (Dallas, TX) and Texas Scottish Rite Hospital For Crippled Children (Dallas, TX). Each 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 Karl Rathjen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karl Rathjen accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Karl Rathjen 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 Karl Rathjen was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.