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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 Aurora, CO

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3405 N MAIN ST STE 200, AURORA, CO 80019(720) 455-3957(720) 239-6515 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Apr 13, 2026, Aug 5, 2018 and 1 more (4 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 Aurora, 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 a secondary practice location in Gahanna.

NPPES Registry Identity

NPI1508252776
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHALEEN INDRA RATHODCredential: M.D.
Location Address3405 N MAIN ST STE 200Aurora, CO 80019-3008
Mailing Address3405 N Main St Ste 200Aurora, CO 80019-3008 · (720) 455-3957 · Fax (720) 239-6515
Phone(720) 455-3957
Fax(720) 239-6515
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2015
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 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.
3405 N MAIN ST STE 200, Aurora, CO 80019
Open in Google Maps ↗

Secondary Practice Location 1

Location 1765 N Hamilton Rd Ste 255Gahanna, OH 43230-8703 · Phone (614) 788-9199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Select Health.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

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, I20260625002798
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shaleen Rathod reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Portercare Adventist Health System
3.1 mi
Family Medicine
4809 ARGONNE ST STE 200
Denver, CO 80249
  • Reassigned Medicare billing, Colorado enrollment
  • 733 clinicians in this Medicare group
NPI 1295477222 (303) 649-3750
Mount Carmel Health System
1,148 mi
Urgent Care
3000 MEADOW POND CT, STE 200
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 258 clinicians in this Medicare group
NPI 1811975279 (614) 871-7130
Ohiohealth Corporation
1,149 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

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 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 80019 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.

PORTERCARE ADVENTIST HEALTH SYSTEM
Orthopaedic Surgery
3405 N MAIN ST STE 200
AURORA, CO 80019
Adams County (303) 925-4750
PORTERCARE ADVENTIST HEALTH SYSTEM
Internal Medicine (Cardiovascular Disease)
3405 N MAIN ST STE 200
AURORA, CO 80019
Adams County (303) 744-1065
ADVENTHEALTH PRIMARY CARE RMR
Family Medicine
3405 N MAIN ST STE 200
AURORA, CO 80019
Adams County (720) 455-3957
PORTERCARE ADVENTIST HEALTH SYSTEM
Family Medicine
3405 N MAIN ST STE 200
AURORA, CO 80019
Adams County (720) 455-3957
PORTERCARE ADVENTIST HEALTH SYSTEM
Obstetrics & Gynecology
3405 N MAIN ST STE 200
AURORA, CO 80019
Adams County (303) 721-1670

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 3405 N Main St Ste 200, Aurora, CO 80019. The listed phone number is (720) 455-3957.

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.

Which organizations bill Medicare for Shaleen Rathod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaleen Rathod reassigns Medicare benefits to 3 organizations: Portercare Adventist Health System (Denver, CO), Mount Carmel Health System (Grove City, OH) and Ohiohealth Corporation (Columbus, OH). 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 Shaleen Rathod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaleen Rathod accept?

Health plans from MedMutual and Select Health 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 October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.