SUNIL RATHORE MD
NPI 1427435635
Psychiatry & Neurology - Neurology in Salt Lake City, UT
About Sunil Rathore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNIL RATHORE MD (NPI 1427435635) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (13442359-1235) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital - Salt Lake, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 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 and accepts Medicare assignment
Sunil Rathore 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.
Medicare Billing Reassignments
6Medicare enrollment records show Sunil Rathore reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 136 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Access Telecare California PC
- 194 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Delaware, North Carolina, Ohio, Utah and West Virginia enrollments
- 65 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital - Salt Lake
Acute Care Hospitals · Salt Lake City, UTUniversity Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTHoly Cross Hospital-Jordan Valley
Acute Care Hospitals · West Jordan, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 Sunil Rathore's NPI number?
The NPI number for Sunil Rathore is 1427435635. It was assigned to this individual provider in the NPPES registry on April 27, 2015.
Where is Sunil Rathore located?
Sunil Rathore practices at 175 N Medical Dr Rm 5001, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.
What is Sunil Rathore's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Sunil Rathore enrolled in Medicare?
Yes. Sunil Rathore 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 organizations bill Medicare for Sunil Rathore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Rathore reassigns Medicare benefits to 6 organizations: University Of Utah Adult Services (Salt Lake City, UT), Ihc Health Services Inc (Salt Lake City, UT), Catholic Health Initiatives Colorado (Salt Lake City, UT), Access Telecare California, P.C. (Dallas, TX), Access Telecare, PLLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. 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 Sunil Rathore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sunil Rathore accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Sunil Rathore 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 Sunil Rathore affiliated with any hospitals?
According to CMS data, Sunil Rathore is affiliated with Holy Cross Hospital - Salt Lake, University Of Utah Hospitals And Clinics and Holy Cross Hospital-Jordan Valley.
When was this NPI record last updated?
The NPPES record for Sunil Rathore was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sunil Rathore, MD · NPI 1427435635
Neurology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 27, 2015.
## Identity
- **NPI:** 1427435635 (Entity type: Individual)
- **Enumerated:** April 27, 2015
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 13442359-1235 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 N MEDICAL DR RM 5001, Salt Lake City, UT 84112-1103
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1114321981, Salt Lake City, UT); Ihc Health Services Inc (NPI 1497473375, Salt Lake City, UT); Catholic Health Initiatives Colorado (NPI 1770286502, Salt Lake City, UT); Access Telecare California, P.C. (NPI 1861959959, Dallas, TX); Access Telecare, PLLC (NPI 1013303080, Dallas, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2015
## Record status
- **NPPES last updated:** March 16, 2026
- **Other identifiers:** Medicaid 2390881 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1427435635) · Data from the CMS NPPES public registry.