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PUNITHA IDA RATHNAM M.D.
NPI 1558564005
Psychiatry & Neurology - Psychiatry in Goldsboro, NC

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
550 W NEW HOPE RD, APT A6, GOLDSBORO, NC 27534(252) 686-8091(252) 686-8092 Get Directions Write a Review

NPPES record last updated: November 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Punitha Ida Rathnam M.d. NPPES

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

PUNITHA IDA RATHNAM M.D. (NPI 1558564005) is an individual psychiatry provider in Goldsboro, North Carolina, licensed in North Carolina (2010-01045) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1558564005
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePUNITHA IDA RATHNAMCredential: M.D.
Location Address550 W NEW HOPE RD, APT A6Goldsboro, NC 27534-7560
Mailing Address400 Glenwood Ave, Suite 8Kinston, NC 28501-3870 · (252) 686-8091 · Fax (252) 686-8092
Phone(252) 686-8091
Fax(252) 686-8092
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 11, 2007
Last NPPES UpdateNovember 16, 2014
✔ NPI 1558564005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2010-01045
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
550 W NEW HOPE RD, Goldsboro, NC 27534
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Other Identifiers 3

Other160KFNC · Bcbsnc
Medicaid5914830NC
Medicare PIN2076168NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Punitha Ida Rathnam 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 ID5597898858
PECOS Enrollment IDI20100806000508
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 Punitha Rathnam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Dawn Psychiatric Services, PLLC
21 mi
Community/Behavioral Health
400 GLENWOOD AVE, SUITE 8
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1245637701 (252) 686-8092

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 2

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.
289 services51 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
54 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MS. ROSALYN NICOL NEWTON PSY.D.
Psychologist
550 W NEW HOPE RD, APT B4
GOLDSBORO, NC 27534
Wayne County (828) 291-0880

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 Punitha Rathnam's NPI number?

The NPI number for Punitha Rathnam is 1558564005. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Punitha Rathnam located?

Punitha Rathnam practices at 550 W New Hope Rd Apt A6, Goldsboro, NC 27534. The listed phone number is (252) 686-8091.

What is Punitha Rathnam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Punitha Rathnam enrolled in Medicare?

Yes. Punitha Rathnam 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 organization bills Medicare for Punitha Rathnam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Punitha Rathnam reassigns Medicare benefits to New Dawn Psychiatric Services, PLLC (Kinston, NC). 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 Punitha Rathnam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Punitha Rathnam accept?

Health plans from Cigna Healthcare list Punitha Rathnam 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 Punitha Rathnam was last updated on November 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.