Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MINAXI K RATHOD MD
NPI 1437137981
Internal Medicine - Infectious Disease in Sherman, TX

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
97.93/100
CMS Quality Rating
1810 W US HIGHWAY 82, SHERMAN, TX 75092(903) 893-1011(903) 893-6501 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Oct 12, 2016 (2 updates tracked since 2016).

About Dr. Minaxi K Rathod Md NPPES

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

DR. MINAXI K RATHOD MD (NPI 1437137981) is an individual infectious disease provider in Sherman, Texas, licensed in Texas (G6377) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1437137981
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MINAXI K RATHODCredential: MD
Location Address1810 W US HIGHWAY 82Sherman, TX 75092-7069
Mailing Address1810 W Us Highway 82Sherman, TX 75092-7069 · (903) 893-1011 · Fax (903) 893-6501
Fax(903) 893-6501
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1437137981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in TX · G6377
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1810 W US HIGHWAY 82, Sherman, TX 75092

Other Names 1

Professional Name (2)Dr. Minaxi K Rathod Md

Other Identifiers 5

Other5000182TX · Aetna Pin
Other82A930TX · Blue Shield, Texas
Medicaid100048080AOK
Medicaid113236702TX
Other440002178TX · Railroad Medicare Pin

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

Dr. Minaxi K Rathod 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 ID5092887323
PECOS Enrollment IDI20120208000678
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
3,269 services496 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
302 services256 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
276 services239 patients
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.
121 services75 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.
99 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK
1/5 CMS rating
OwnershipProprietary
CMS Certification Number370014
Location1800 University BoulevardDurant, OK 74702 · Bryan County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450469
Location500 N Highland AvenueSherman, TX 75091 · Grayson County
Emergency services Birthing friendly

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

97.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.75
Promoting Interoperability96
Improvement Activities40
Cost76.29

Reported Quality Measures

Advance Care Plan
100%181 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%780 patients4/55-star benchmark: 100%
e-Prescribing
94%70 patients2/55-star benchmark: 100%
Falls: Plan of Care
100%40 patients
Falls: Screening for Future Fall Risk
79%175 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
66%287 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 149 patients
Patients screened: 64% · 149 patients
100%24 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%112 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.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Physical Therapy Assistant
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Emergency Medicine
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Internal Medicine
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Internal Medicine
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Internal Medicine (Infectious Disease)
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Rehabilitation Hospital
1810 W US HIGHWAY 82
SHERMAN, TX 75092
Physical Medicine & Rehabilitation
1810 W US HIGHWAY 82
SHERMAN, TX 75092

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 Minaxi Rathod's NPI number?

The NPI number for Minaxi Rathod is 1437137981. It was assigned to this individual provider in the NPPES registry on January 5, 2006. The provider is also known as Dr. Minaxi K Rathod MD.

Where is Minaxi Rathod located?

Minaxi Rathod practices at 1810 W Us Highway 82, Sherman, TX 75092. The listed phone number is (903) 893-1011.

What is Minaxi Rathod's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Minaxi Rathod enrolled in Medicare?

Yes. Minaxi 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 Minaxi Rathod accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Minaxi 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 Minaxi Rathod affiliated with any hospitals?

According to CMS data, Minaxi Rathod is affiliated with Alliancehealth Durant, Mercy Hospital Ardmore, Inc, Texoma Medical Center, Wilson N Jones Regional Medical Center and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Minaxi Rathod was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.