RHUSHI ZIRADKAR M.D.
NPI 1770069718
Family Medicine - Sports Medicine in Barrington, RI

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
236 COUNTY RD, BARRINGTON, RI 02806(401) 606-3550(401) 606-3551 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Mar 6, 2026, Sep 13, 2025 and 3 more (6 updates tracked since 2018).

About Rhushi Ziradkar M.d. NPPES

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

RHUSHI ZIRADKAR M.D. (NPI 1770069718) is an individual sports medicine provider in Barrington, Rhode Island, licensed in Indiana (01088629A) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770069718
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameRHUSHI ZIRADKARCredential: M.D.
Location Address236 COUNTY RDBarrington, RI 02806-4545
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 606-3551
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2018
Last NPPES UpdateApril 27, 20266 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1770069718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IN · 01088629A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD21102 (RI), 01088629A (IN)
236 COUNTY RD, Barrington, RI 02806

Secondary Practice Locations 2

Location 1550 S Landmark AveBloomington, IN 47403-3239 · Phone (812) 330-3689 · Fax (812) 355-3290
Location 266 Branch Ave Ste 150Providence, RI 02904-2756 · Phone (401) 606-2590 · Fax (401) 606-2591

Accepted 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

Rhushi Ziradkar 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 ID5092063131
PECOS Enrollment IDI20221007002566, I20260320002630
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 Rhushi Ziradkar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
17 AIRPORT RD
Warwick, RI 02889
  • Reassigned Medicare billing, Rhode Island enrollment
  • 28 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group

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 9

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 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.
116 services87 patients
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.
70 services60 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
51 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services32 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
32 services32 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02806 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 8

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

Pharmacist
236 COUNTY RD
BARRINGTON, RI 02806
Physical Therapist
236 COUNTY RD
BARRINGTON, RI 02806
Nurse Practitioner
236 COUNTY RD
BARRINGTON, RI 02806
Physician Assistant
236 COUNTY RD
BARRINGTON, RI 02806
Pharmacy
236 COUNTY RD
BARRINGTON, RI 02806
Pharmacist
236 COUNTY RD
BARRINGTON, RI 02806
Physician Assistant
236 COUNTY RD
BARRINGTON, RI 02806
Orthopaedic Surgery
236 COUNTY RD
BARRINGTON, RI 02806

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 Rhushi Ziradkar's NPI number?

The NPI number for Rhushi Ziradkar is 1770069718. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Rhushi Ziradkar located?

Rhushi Ziradkar practices at 236 County Rd, Barrington, RI 02806. The listed phone number is (401) 606-3550.

What is Rhushi Ziradkar's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Rhushi Ziradkar enrolled in Medicare?

Yes. Rhushi Ziradkar 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 Rhushi Ziradkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhushi Ziradkar reassigns Medicare benefits to 3 organizations: Lifespan Physician Group, Inc. (Warwick, RI), Iu Health Medical Group, LLC (Indianapolis, IN) and Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN). 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 Rhushi Ziradkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rhushi Ziradkar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Rhushi Ziradkar 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 Rhushi Ziradkar affiliated with any hospitals?

According to CMS data, Rhushi Ziradkar is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Rhushi Ziradkar was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.