MS. DHRUPA DILIPSINH RATHOD CRNP
NPI 1790378123
Nurse Practitioner - Family in Raleigh, NC

Q: 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.

Q: What is Dhrupa Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 7 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 February 17, 2021PECOS EnrolledAccepts Medicare Assignment

2340 SPRING FOREST RD, RALEIGH, NC 27615(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2025, Nov 3, 2025, May 9, 2025 and 4 more (7 updates tracked since 2021).

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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

NPI1790378123

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. DHRUPA DILIPSINH RATHODCredential: CRNP

Location Address2340 SPRING FOREST RDRaleigh, NC 27615-7528

Mailing Address16 Joseph DrSewell, NJ 08080-2464

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 17, 2021

Last NPPES UpdateDecember 13, 20257 updates tracked since enumeration

NPPES CertifiedDecember 13, 2025

✔ NPI 1790378123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NC · 5016804✔ Licensed in PA · SP023110

Also ListedFamily MedicineTaxonomy 207Q00000X · License 31285 (SC), 26NJ01124100 (NJ), GAA-NP004217 (GA), 0024195304 (VA)

2340 SPRING FOREST RD, Raleigh, NC 27615

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Secondary Practice Locations 4

Location 1251 N BroadwayPennsville, NJ 08070-1200 · Phone (856) 678-3469

Location 216 Joseph DrSewell, NJ 08080-2464 · Phone (856) 649-4817

Location 31311 E Millbrook RdRaleigh, NC 27609-5473 · Phone (919) 719-0119

Location 43050 Duraleigh Rd Ste 111Raleigh, NC 27612-5451 · Phone (984) 215-6990 · Fax (984) 215-6991

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5890104061

PECOS Enrollment IDI20210429002999, I20240423001200, I20250625003865

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.

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.

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.

44 services44 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

16 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

15 services15 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

13 services13 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

12 services12 patients

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, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician 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.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

MRS. LAURIE A EDWARDS NP-C

Nurse Practitioner (Family)