DISA RATHORE DO, MPH
NPI 1639968019
Pediatrics in Augusta, GA

Q: What is Disa Rathore's NPI number?

The NPI number for Disa Rathore is 1639968019. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Q: What is Disa Rathore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Disa Rathore was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 02, 2025PECOS Enrolled

1469 LANEY WALKER BLVD, AUGUSTA, GA 30912(796) 721-7005 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Disa Rathore Do, Mph NPPES

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

DISA RATHORE DO, MPH (NPI 1639968019) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (17460) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639968019

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDISA RATHORECredential: DO, MPH

Location Address1469 LANEY WALKER BLVDAugusta, GA 30912-0002

Mailing Address5335 Nw 190th LnMiami Gardens, FL 33055-5323 · (786) 247-9614

Phone(796) 721-7005

Sole ProprietorNo

Enumeration DateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1639968019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 17460

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1469 LANEY WALKER BLVD, Augusta, GA 30912

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Disa Rathore Do, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

ANSLEY WILSON SMITH DO

Pediatrics