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RINA KAMALESH SHETH D.O.
NPI 1811424633
Optometrist in Naperville, IL

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1331 W 75TH ST STE 403, NAPERVILLE, IL 60540(630) 357-3511 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 10, 2019, Apr 11, 2019, May 11, 2017 (3 updates tracked since 2017).

About Rina Kamalesh Sheth D.o. NPPES

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

RINA KAMALESH SHETH D.O. (NPI 1811424633) is an individual optometrist in Naperville, Illinois, licensed in Illinois (046011181) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Downers Grove, and is a graduate of Illinois College Of Optometry At Chicago (2017).

NPPES Registry Identity

NPI1811424633
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRINA KAMALESH SHETHCredential: D.O.
Location Address1331 W 75TH ST STE 403Naperville, IL 60540-9336
Mailing Address2712 Sterling CtElgin, IL 60124-5505 · (224) 402-3708
Phone(630) 357-3511
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateMay 10, 20193 updates tracked since enumeration
✔ NPI 1811424633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046011181
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1331 W 75TH ST STE 403, Naperville, IL 60540
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Secondary Practice Location 1

Location 16840 Main St Ste 250Downers Grove, IL 60516-3462 · Phone (630) 969-3268

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Rina Kamalesh Sheth D.o. 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 ID6709132822
PECOS Enrollment IDI20180703001904
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 4

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
81 services72 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
46 services46 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.
20 services18 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.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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 4

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

NAPER GROVE VISION CARE, P.C.
Specialist
1331 W 75TH ST STE 403
NAPERVILLE, IL 60540
Dupage County (630) 357-3511
DR. CONNOR MATTHEW ROBBS O.D.
Optometrist
1331 W 75TH ST STE 403
NAPERVILLE, IL 60540
Dupage County (630) 357-3511
JOHN W SIMS OD
Optometrist
1331 W 75TH ST STE 403
NAPERVILLE, IL 60540
Dupage County (630) 357-3511
OLIVIA STEINBERG
Optometrist
1331 W 75TH ST STE 403
NAPERVILLE, IL 60540
Dupage County (630) 357-3511

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 Rina Sheth's NPI number?

The NPI number for Rina Sheth is 1811424633. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Rina Sheth located?

Rina Sheth practices at 1331 W 75th St Ste 403, Naperville, IL 60540. The listed phone number is (630) 357-3511.

What is Rina Sheth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rina Sheth enrolled in Medicare?

Yes. Rina Sheth 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 Rina Sheth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Rina Sheth 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.

When was this NPI record last updated?

The NPPES record for Rina Sheth was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.