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RITESH RATHORE MD
NPI 1467459263
Internal Medicine - Hematology & Oncology in Providence, RI

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2077(401) 456-5765 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ritesh Rathore Md NPPES

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

RITESH RATHORE MD (NPI 1467459263) is an individual hematology & oncology provider in Providence, Rhode Island, licensed in Rhode Island (MD10305) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1467459263
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameRITESH RATHORECredential: MD
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2077 · Fax (401) 456-5765
Phone(401) 456-2077
Fax(401) 456-5765
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467459263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in RI · MD10305
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
825 CHALKSTONE AVE, Providence, RI 02908
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Other Identifiers 2

Medicare UPINH29577RI
Medicaid9022319RI

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

Ritesh 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 ID8123077708
PECOS Enrollment IDI20050120000963
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 5

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.
397 services140 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.
93 services23 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.
58 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 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.
26 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$14.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$66.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.02 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.68 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 20

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

DR. TODD F ROBERTS MD
Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-6565
DR. WILLIAM ARTHUR YELLE MD
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
IAN M JACOBSON MD
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (330) 493-4443
PROSPECT CHARTERCARE RWMC, LLC
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
N PETER LIBBEY M.D.
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Providence County (401) 456-2162
GARRICK MARK WHITLOCK CRNA
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
DR. JOHN WESLEY PATRESAN MD
Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
VALERIE JEAN ZUERCHER
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-4807

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 Ritesh Rathore's NPI number?

The NPI number for Ritesh Rathore is 1467459263. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Ritesh Rathore located?

Ritesh Rathore practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2077.

What is Ritesh Rathore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ritesh Rathore enrolled in Medicare?

Yes. Ritesh 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.

Is Ritesh Rathore affiliated with any hospitals?

According to CMS data, Ritesh Rathore is affiliated with Roger Williams Medical Center, Our Lady Of Fatima Hospital, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Ritesh Rathore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.