SUNIL RATHORE MD
NPI 1427435635
Psychiatry & Neurology - Neurology in Salt Lake City, UT

Active since April 27, 2015PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
175 N MEDICAL DR RM 5001, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2026, Dec 29, 2025, Aug 8, 2024 and 1 more (4 updates tracked since 2016).

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 University Of Utah Hospitals And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427435635
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSUNIL RATHORECredential: MD
Location Address175 N MEDICAL DR RM 5001Salt Lake City, UT 84112-1103
Mailing Address175 N Medical Dr Rm 5001Salt Lake City, UT 84112-1103 · (801) 581-2121
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2015
Enumeration DateApril 27, 2015
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1427435635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in UT · 13442359-1235 Licensed in LA · 306509 Licensed in AZ · 71475
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
175 N MEDICAL DR RM 5001, Salt Lake City, UT 84112

Secondary Practice Locations 2

Location 182 S 1100 E Ste 103Salt Lake City, UT 84102-1889 · Phone (801) 505-5370 · Fax (801) 984-6655
Location 21542 Tulane Ave, Neurology DepartmentNew Orleans, LA 70112 · Phone (504) 568-4081

Other Identifiers 1

Medicaid2390881LA

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

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.

PECOS PAC ID840500393
PECOS Enrollment IDI20210719001803, I20240105002632, I20250304003157, I20250326003885, I20250408003393
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services16 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Neurology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Neurology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Clinical Neurophysiology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Neurology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Vascular Neurology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Vascular Neurology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Neurology)
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Neurology)
175 N MEDICAL DR RM 5001
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.

What insurance does Sunil Rathore accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah 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 University Of Utah Hospitals And Clinics.

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 4 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.