RAHUL S ATHALYE MD
NPI 1346269248
Family Medicine in Scottsdale, AZ

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
93.62/100
CMS Quality Rating
3501 N SCOTTSDALE RD, #334, SCOTTSDALE, AZ 85251(480) 941-4845 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rahul S Athalye Md NPPES

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

RAHUL S ATHALYE MD (NPI 1346269248) is an individual family medicine provider in Scottsdale, Arizona, licensed in Arizona (33431) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2003).

NPPES Registry Identity

NPI1346269248
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAHUL S ATHALYECredential: MD
Location Address3501 N SCOTTSDALE RD, #334Scottsdale, AZ 85251-5648
Mailing Address3501 N Scottsdale Rd, #334Scottsdale, AZ 85251-5648 · (480) 941-4845
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2003
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 17, 2023
NPPES CertifiedFebruary 16, 2023
NPI 1346269248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 33431
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3501 N SCOTTSDALE RD, Scottsdale, AZ 85251

Other Identifiers 1

Other33431AZ · State License

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

Rahul S Athalye 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.

PECOS PAC ID8628074598
PECOS Enrollment IDI20061017000248
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.

Areas of Expertise CMS Part B claims 21

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
755 services350 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
650 services369 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
343 services343 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
335 services335 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
330 services330 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
240 services170 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85251 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

93.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.24
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
86%444 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
91%141 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%141 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
76%1,462 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 1,331 patients
Patients screened: 81% · 1,331 patients
76%106 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers42 claims112 services$5.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers20 claims30 services$0.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$15.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers42 claims42 services$83.62 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
7 suppliers12 claims2,141 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$185.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
3501 N SCOTTSDALE RD, SUITE 130
SCOTTSDALE, AZ 85251
Radiology (Diagnostic Radiology)
3501 N SCOTTSDALE RD, STE 130
SCOTTSDALE, AZ 85251
Radiology (Diagnostic Radiology)
3501 N SCOTTSDALE RD, STE 130
SCOTTSDALE, AZ 85251
Specialist
3501 N SCOTTSDALE RD, STE 234
SCOTTSDALE, AZ 85251
Radiology (Diagnostic Radiology)
3501 N SCOTTSDALE RD, STE 130
SCOTTSDALE, AZ 85251
Radiology (Diagnostic Radiology)
3501 N SCOTTSDALE RD, SUITE 130
SCOTTSDALE, AZ 85251
Radiology (Diagnostic Radiology)
3501 N SCOTTSDALE RD, SUITE 130
SCOTTSDALE, AZ 85251
Specialist
3501 N SCOTTSDALE RD, STE 300
SCOTTSDALE, AZ 85251

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 Rahul Athalye's NPI number?

The NPI number for Rahul Athalye is 1346269248. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Rahul Athalye located?

Rahul Athalye practices at 3501 N Scottsdale Rd #334, Scottsdale, AZ 85251. The listed phone number is (480) 941-4845.

What is Rahul Athalye's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rahul Athalye enrolled in Medicare?

Yes. Rahul Athalye 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.

When was this NPI record last updated?

The NPPES record for Rahul Athalye was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.