RACHEL ANNA GARCIA MD
NPI 1891016556
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Cincinnati, OH

Q: What is Rachel Garcia's NPI number?

The NPI number for Rachel Garcia is 1891016556. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Rachel Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Garcia was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 17, 2010PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

2123 AUBURN AVE STE 138, CINCINNATI, OH 45219(513) 206-1180(513) 585-5608 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2025, Jul 19, 2024, May 11, 2023 and 61 more (64 updates tracked since 2017).

On this page

About Rachel Anna Garcia Md NPPES

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

RACHEL ANNA GARCIA MD (NPI 1891016556) is an individual advanced heart failure and transplant cardiology provider in Cincinnati, Ohio, licensed in North Carolina (2018-01297) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1891016556

Entity TypeIndividualFemale

Primary Taxonomy207RA0001X

Provider Legal NameRACHEL ANNA GARCIACredential: MD

Location Address2123 AUBURN AVE STE 138Cincinnati, OH 45219-2906

Mailing AddressPo Box 636210Cincinnati, OH 45263-6210 · (513) 263-9402

Phone(513) 206-1180

Fax(513) 585-5608

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 17, 2010

Last NPPES UpdateMarch 7, 202564 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1891016556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

Licenses✔ Licensed in NC · 2018-01297✔ Licensed in OH · 35.152441

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2018-01297 (NC)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2018-01297 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License 2018-01297 (NC)

2123 AUBURN AVE STE 138, Cincinnati, OH 45219

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Secondary Practice Locations 7

Location 1447 McAlister Rd, STE 3200Lincolnton, NC 28092-4114 · Phone (980) 212-6300

Location 210650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840

Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

Location 41237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212

Location 5101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950

Location 611140 Montgomery Rd Ste 1300Cincinnati, OH 45249-2309 · Phone (513) 792-7800 · Fax (513) 792-7807

Location 72123 Auburn Ave Ste 138Cincinnati, OH 45219-2906 · Phone (513) 206-1180 · Fax (513) 585-5608

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Rachel Anna Garcia Md 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 ID2961705934

PECOS Enrollment IDI20250320000576

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

Medicare enrollment records show Rachel Garcia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Christ Hospital Cardiovascular Associates LLC

0.1 mi

Cardiovascular Disease

2139 AUBURN AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
154 clinicians in this Medicare group

NPI 1497901458 (513) 721-8881

Premier Health Specialists Inc

28 mi

Psychologist

5900 LONG MEADOW DR, SUITE 300
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
812 clinicians in this Medicare group

NPI 1831466986 (937) 478-0749

Carolinas Physicians Network Inc

250 mi

Cardiovascular Disease

200 HOSPITAL AVE, SUITE 200
Jefferson, NC 28640

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1871817403 (336) 846-8334

The Charlotte-Mecklenburg Hospital Authority

310 mi

Nurse Anesthetist, Certified Registered

433 MCALISTER RD
Lincolnton, NC 28092

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1194056705 (980) 212-2000

Carolinas Medical Center

326 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

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.

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.

114 services90 patients

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.

51 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

44 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

42 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services23 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

36 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims34 services$36.87 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims15 services$14.41 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers17 claims17 services$58.48 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

2 suppliers11 claims555 services$1.36 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 3

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

DR. SITARAMESH EMANI M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2123 AUBURN AVE STE 138
CINCINNATI, OH 45219

Hamilton County (513) 206-1180

TESSA MARIE ZEIS MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2123 AUBURN AVE STE 138
CINCINNATI, OH 45219

Hamilton County (513) 206-1120

SENAN YASAR MD

Internal Medicine (Cardiovascular Disease)

2123 AUBURN AVE STE 138
CINCINNATI, OH 45219

Hamilton County (513) 206-1120

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 Rachel Garcia's NPI number?

The NPI number for Rachel Garcia is 1891016556. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Rachel Garcia located?

Rachel Garcia practices at 2123 Auburn Ave Ste 138, Cincinnati, OH 45219. The listed phone number is (513) 206-1180.

What is Rachel Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Rachel Garcia enrolled in Medicare?

Yes. Rachel Garcia 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 Rachel Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Garcia reassigns Medicare benefits to 5 organizations: The Christ Hospital Cardiovascular Associates LLC (Cincinnati, OH), Premier Health Specialists Inc (Middletown, OH), Carolinas Physicians Network Inc (Jefferson, NC), The Charlotte-Mecklenburg Hospital Authority (Lincolnton, NC) and Carolinas Medical Center (Davidson, NC). 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 Rachel Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Garcia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Rachel Garcia 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 Rachel Garcia affiliated with any hospitals?

According to CMS data, Rachel Garcia is affiliated with Margaret Mary Community Hospital Inc, Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Garcia was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.