MS. HEENABEN RATHOD FNP
NPI 1417566548
Nurse Practitioner in Live Oak, TX

Q: What is Heenaben Rathod's NPI number?

The NPI number for Heenaben Rathod is 1417566548. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Q: What is Heenaben Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Heenaben Rathod was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 24, 2020PECOS EnrolledAccepts Medicare Assignment

12410 TOEPPERWEIN RD, LIVE OAK, TX 78233(210) 742-6555(224) 623-0079 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2022, Oct 18, 2021, Oct 12, 2021 and 2 more (5 updates tracked since 2020).

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About Ms. Heenaben Rathod Fnp NPPES

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

MS. HEENABEN RATHOD FNP (NPI 1417566548) is an individual nurse practitioner in Live Oak, Texas, licensed in Texas (1010971) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417566548

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. HEENABEN RATHODCredential: FNP

Location Address12410 TOEPPERWEIN RDLive Oak, TX 78233-3230

Mailing Address12410 Toepperwein RdLive Oak, TX 78233-3230 · (210) 742-6555 · Fax (224) 623-0079

Phone(210) 742-6555

Fax(224) 623-0079

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 24, 2020

Last NPPES UpdateFebruary 16, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1417566548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1010971

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 979120 (TX), 041.458859 (IL)

12410 TOEPPERWEIN RD, Live Oak, TX 78233

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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, Community Health Choice, Oscar Insurance Company and more.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

Ms. Heenaben Rathod Fnp 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 ID5799173506

PECOS Enrollment IDI20211028000560

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.

116 services71 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.

43 services38 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

28 services27 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

27 services21 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services15 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

18 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 4

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

HILLSIDE PRIMARY CARE PLLC

Internal Medicine

12410 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (210) 742-6555

FATIMA EL MAANAOUI

Nurse Practitioner (Family)

12410 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (641) 781-9122

MARIANA ONTIVEROS APRN

Nurse Practitioner (Primary Care)

12410 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (210) 742-6555

MS. VANESSA RODRIGUEZ ANDRADA

Physician Assistant

12410 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (210) 742-6555

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 Heenaben Rathod's NPI number?

The NPI number for Heenaben Rathod is 1417566548. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Heenaben Rathod located?

Heenaben Rathod practices at 12410 Toepperwein Rd, Live Oak, TX 78233. The listed phone number is (210) 742-6555.

What is Heenaben Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heenaben Rathod enrolled in Medicare?

Yes. Heenaben Rathod 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 Heenaben Rathod accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company, UnitedHealthcare and WellPoint list Heenaben Rathod 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 Heenaben Rathod affiliated with any hospitals?

According to CMS data, Heenaben Rathod is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Heenaben Rathod was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.