RITA GATIA
NPI 1801122312
Nurse Practitioner - Family in Detroit, MI

Active since October 19, 2009PECOS EnrolledAccepts Medicare Assignment
11260 E JEFFERSON AVE, DETROIT, MI 48214(313) 749-0148(313) 263-3298 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2021, May 15, 2020 (2 updates tracked since 2020).

About Rita Gatia NPPES

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

RITA GATIA (NPI 1801122312) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704241025) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801122312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRITA GATIA
Location Address11260 E JEFFERSON AVEDetroit, MI 48214-3320
Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014
Fax(313) 263-3298
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 19, 2009
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
NPI 1801122312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704241025
11260 E JEFFERSON AVE, Detroit, MI 48214

Accepted 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

Rita Gatia 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 ID6002958618
PECOS Enrollment IDI20100120000520
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 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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48214 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$26.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Family Medicine
11260 E JEFFERSON AVE
DETROIT, MI 48214
Nurse Practitioner (Family)
11260 E JEFFERSON AVE
DETROIT, MI 48214
Internal Medicine
11260 E JEFFERSON AVE
DETROIT, MI 48214
Nurse Practitioner (Family)
11260 E JEFFERSON AVE
DETROIT, MI 48214
Nurse Practitioner (Adult Health)
11260 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
11260 E JEFFERSON AVE
DETROIT, MI 48214
Family Medicine
11260 E JEFFERSON AVE
DETROIT, MI 48214
Clinic/Center (Primary Care)
11260 E JEFFERSON AVE
DETROIT, MI 48214

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 Rita Gatia's NPI number?

The NPI number for Rita Gatia is 1801122312. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Where is Rita Gatia located?

Rita Gatia practices at 11260 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (313) 749-0148.

What is Rita Gatia's specialty?

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

Is Rita Gatia enrolled in Medicare?

Yes. Rita Gatia 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.

What insurance does Rita Gatia accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Rita Gatia 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 Rita Gatia affiliated with any hospitals?

According to CMS data, Rita Gatia is affiliated with Beaumont Hospital - Grosse Pointe, Harper University Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Rita Gatia was last updated on February 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.