MS. DHRUPA DILIPSINH RATHOD CRNP
NPI 1790378123
Nurse Practitioner - Family in Raleigh, NC
About Ms. Dhrupa Dilipsinh Rathod Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DHRUPA DILIPSINH RATHOD CRNP (NPI 1790378123) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5016804) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
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
Ms. Dhrupa Dilipsinh Rathod Crnp 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.
Medicare Billing Reassignments
9Medicare enrollment records show Dhrupa Rathod reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 168 clinicians in this Medicare group
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 290 clinicians in this Medicare group
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 clinicians in this Medicare group
Durham, NC 27707
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Fastmed PC
- 117 clinicians in this Medicare group
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 176 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 243 clinicians in this Medicare group
Bryn Mawr, PA 19010
- Reassigned Medicare billing, Pennsylvania enrollment
- 168 clinicians in this Medicare group
Edgewater, NJ 07020
- Reassigned Medicare billing, New Jersey enrollment
- 144 clinicians in this Medicare group
Woonsocket, RI 02895
- Reassigned Medicare billing, Pennsylvania and South Carolina enrollments
- 122 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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RALEIGH, NC 27615
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 Dhrupa Rathod's NPI number?
The NPI number for Dhrupa Rathod is 1790378123. It was assigned to this individual provider in the NPPES registry on February 17, 2021.
Where is Dhrupa Rathod located?
Dhrupa Rathod practices at 2340 Spring Forest Rd, Raleigh, NC 27615. The listed phone number is (866) 389-2727.
What is Dhrupa Rathod's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dhrupa Rathod enrolled in Medicare?
Yes. Dhrupa 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 Dhrupa Rathod's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhrupa Rathod reassigns Medicare benefits to 9 organizations: Minuteclinic Primary Care North Carolina PLLC (Raleigh, NC), Minuteclinic Diagnostic Of North Carolina PC (Raleigh, NC), North Carolina Mg, LLC (Raleigh, NC), Fastmed P.C. (Durham, NC), Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC) and 4 more organizations, listed in the Medicare section above. 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 Dhrupa Rathod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dhrupa Rathod accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Dhrupa 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 Dhrupa Rathod affiliated with any hospitals?
According to CMS data, Dhrupa Rathod is affiliated with Rex Hospital.
When was this NPI record last updated?
The NPPES record for Dhrupa Rathod was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Dhrupa Dilipsinh Rathod, CRNP · NPI 1790378123
Family physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1790378123 (Entity type: Individual)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5016804 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2340 SPRING FOREST RD, Raleigh, NC 27615-7528
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Primary Care North Carolina PLLC (NPI 1356159818, Raleigh, NC); Minuteclinic Diagnostic Of North Carolina PC (NPI 1699748608, Raleigh, NC); North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC); Fastmed P.C. (NPI 1629841788, Durham, NC); Minuteclinic Diagnostic South Carolina LLC (NPI 1447420815, Simpsonville, SC); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790378123) · Data from the CMS NPPES public registry.