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DWARKA RATHI MD
NPI 1528077732
Internal Medicine - Nephrology in Brookhaven, GA

Active since August 05, 2006PECOS Enrolled
1561 TRYON RD NE, BROOKHAVEN, GA 30319(914) 643-3879 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dwarka Rathi Md NPPES

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

DWARKA RATHI MD (NPI 1528077732) is an individual nephrology provider in Brookhaven, Georgia, licensed in Georgia (86856) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528077732
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDWARKA RATHICredential: MD
Location Address1561 TRYON RD NEBrookhaven, GA 30319-2940
Mailing Address1561 Tryon Rd NeBrookhaven, GA 30319-2940 · (146) 433-8799
Phone(914) 643-3879
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1528077732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in GA · 86856✔ Licensed in NY · 205041-1
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1561 TRYON RD NE, Brookhaven, GA 30319
Open in Google Maps ↗

Other Identifiers 1

Medicaid01577820NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwarka Rathi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Dwarka Rathi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriving Lane
549 mi
Psychiatry
4933 TAMIAMI TRL N STE 200
Naples, FL 34103
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group
NPI 1376122515 (347) 830-7720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30319 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Dwarka Rathi's NPI number?

The NPI number for Dwarka Rathi is 1528077732. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Dwarka Rathi located?

Dwarka Rathi practices at 1561 Tryon Rd NE, Brookhaven, GA 30319. The listed phone number is (914) 643-3879.

What is Dwarka Rathi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dwarka Rathi enrolled in Medicare?

Yes. Dwarka Rathi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dwarka Rathi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwarka Rathi reassigns Medicare benefits to Thriving Lane (Naples, FL). The 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 Dwarka Rathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dwarka Rathi accept?

Health plans from Alliant Health Plans, Inc. list Dwarka Rathi 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.

When was this NPI record last updated?

The NPPES record for Dwarka Rathi was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.