ZULEHUMA RATHER MD
NPI 1386966083
Internal Medicine in Dover, DE

Active since February 22, 2010PECOS EnrolledAccepts Medicare Assignment
720 S QUEEN ST, DOVER, DE 19904(302) 734-7834(302) 734-7847 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zulehuma Rather Md NPPES

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

ZULEHUMA RATHER MD (NPI 1386966083) is an individual internal medicine provider in Dover, Delaware, licensed in Delaware (C10010038) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1386966083
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameZULEHUMA RATHERCredential: MD
Location Address720 S QUEEN STDover, DE 19904-3567
Mailing Address640 S. State Street, Mail Code 3055Dover, DE 19901-3530 · (302) 734-7834 · Fax (302) 734-7847
Fax(302) 734-7847
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 22, 2010
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
NPI 1386966083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C10010038
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.

720 S QUEEN ST, Dover, DE 19904

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

Zulehuma Rather 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 ID1153576087
PECOS Enrollment IDI20130227000058
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 9

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.
287 services171 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.
145 services145 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.
71 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
44 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers24 claims49 services$5.40 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
720 S QUEEN ST
DOVER, DE 19904
Orthopaedic Surgery
720 S QUEEN ST
DOVER, DE 19904
Counselor (Mental Health)
720 S QUEEN ST
DOVER, DE 19904
Family Medicine
720 S QUEEN ST
DOVER, DE 19904
Family Medicine
720 S QUEEN ST
DOVER, DE 19904
Orthopaedic Surgery
720 S QUEEN ST
DOVER, DE 19904
Counselor (Mental Health)
720 S QUEEN ST
DOVER, DE 19904
Internal Medicine
720 S QUEEN ST
DOVER, DE 19904

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 Zulehuma Rather's NPI number?

The NPI number for Zulehuma Rather is 1386966083. It was assigned to this individual provider in the NPPES registry on February 22, 2010.

Where is Zulehuma Rather located?

Zulehuma Rather practices at 720 S Queen St, Dover, DE 19904. The listed phone number is (302) 734-7834.

What is Zulehuma Rather's specialty?

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

Is Zulehuma Rather enrolled in Medicare?

Yes. Zulehuma Rather 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.

What insurance does Zulehuma Rather accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Zulehuma Rather 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 Zulehuma Rather was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.