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

SHALEEN INDRA RATHOD M.D.
NPI 1508252776
Family Medicine in Denver, CO

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
4809 ARGONNE ST STE 200, DENVER, CO 80249(303) 649-3750 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Aug 5, 2018, Nov 22, 2015 (3 updates tracked since 2015).

About Shaleen Indra Rathod M.d. NPPES

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

SHALEEN INDRA RATHOD M.D. (NPI 1508252776) is an individual family medicine provider in Denver, Colorado, licensed in Colorado (DR.0076805) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508252776
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHALEEN INDRA RATHODCredential: M.D.
Location Address4809 ARGONNE ST STE 200Denver, CO 80249-6836
Mailing Address4809 Argonne St Ste 200Denver, CO 80249-6836 · (303) 649-3750
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2015
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1508252776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · DR.0076805 Licensed in OH · 35.134261
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4809 ARGONNE ST STE 200, Denver, CO 80249

Secondary Practice Locations 2

Location 1765 N Hamilton Rd Ste 255Gahanna, OH 43230-8703 · Phone (614) 788-9199
Location 24674 Britton Pkwy Ste 2200Hilliard, OH 43026-9825 · Phone (614) 210-4555 · Fax (614) 210-4545

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

Shaleen Indra Rathod M.d. 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 ID5193034775
PECOS Enrollment IDI20180831001407
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 8

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.
182 services90 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80249 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims14 services$3.74 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 5

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

Family Medicine
4809 ARGONNE ST STE 200
DENVER, CO 80249
Obstetrics & Gynecology
4809 ARGONNE ST STE 200
DENVER, CO 80249
Family Medicine
4809 ARGONNE ST STE 200
DENVER, CO 80249
Social Worker (Clinical)
4809 ARGONNE ST STE 200
DENVER, CO 80249
Family Medicine
4809 ARGONNE ST STE 200
DENVER, CO 80249

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 Shaleen Rathod's NPI number?

The NPI number for Shaleen Rathod is 1508252776. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Shaleen Rathod located?

Shaleen Rathod practices at 4809 Argonne St Ste 200, Denver, CO 80249. The listed phone number is (303) 649-3750.

What is Shaleen Rathod's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shaleen Rathod enrolled in Medicare?

Yes. Shaleen 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 Shaleen Rathod accept?

Health plans from CareSource and MedMutual list Shaleen 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 Shaleen Rathod affiliated with any hospitals?

According to CMS data, Shaleen Rathod is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Shaleen Rathod was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 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.