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MS. HEENA RATHOD CRNP
NPI 1932528189
Nurse Practitioner - Pediatrics in West Reading, PA

Active since April 15, 2014PECOS Enrolled
655 WALNUT ST, WEST READING, PA 19611(610) 372-9222(610) 372-0232 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Heena Rathod Crnp NPPES

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

MS. HEENA RATHOD CRNP (NPI 1932528189) is an individual pediatrics provider in West Reading, Pennsylvania, licensed in Pennsylvania (SP013119) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932528189
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. HEENA RATHODCredential: CRNP
Location Address655 WALNUT STWest Reading, PA 19611-1242
Mailing Address655 Walnut StWest Reading, PA 19611-1242 · (610) 372-9222 · Fax (610) 372-0232
Phone(610) 372-9222
Fax(610) 372-0232
Sole ProprietorNo
Enumeration DateApril 15, 2014
✔ NPI 1932528189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in PA · SP013119
655 WALNUT ST, West Reading, PA 19611
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Heena Rathod Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 12

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

MRS. GLORIA JEAN HUTZELL CRFNP
Nurse Practitioner (Family)
655 WALNUT ST
WEST READING, PA 19611
Berks County (619) 372-9222
DR. ANNA N/A KARASIK M.D.
Pediatrics
655 WALNUT ST
WEST READING, PA 19611
Berks County (610) 972-9222
MS. BARBARA FOSTER HAUS C.R.N.P.
Nurse Practitioner (Pediatrics)
655 WALNUT ST
WEST READING, PA 19611
Berks County (610) 372-9222
DR. ABDULLAH SAKARCAN MD
Pediatrics
655 WALNUT ST
WEST READING, PA 19611
Berks County (484) 345-3038
DR. ABIMBOLA T AJAYI M.D
Pediatrics
655 WALNUT ST
WEST READING, PA 19611
Berks County (610) 372-9222
DR. DIANA MARILYN SCHLESINGER MD
Pediatrics
655 WALNUT ST, ALL ABOUT CHILDREN PEDIATRIC PARTNERS, PC
WEST READING, PA 19611
Berks County (610) 372-9222
VAISHNAVI HARDING D.O.
Pediatrics
655 WALNUT ST
WEST READING, PA 19611
Berks County (484) 345-3038
PENN STATE HEALTH MEDICAL GROUP, LLC
Pediatrics
655 WALNUT ST
WEST READING, PA 19611
Berks County (610) 372-9222

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 Heena Rathod's NPI number?

The NPI number for Heena Rathod is 1932528189. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Heena Rathod located?

Heena Rathod practices at 655 Walnut St, West Reading, PA 19611. The listed phone number is (610) 372-9222.

What is Heena Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Heena Rathod enrolled in Medicare?

Yes. Heena Rathod is registered in the Medicare PECOS enrollment system.

What insurance does Heena Rathod accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heena 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.

When was this NPI record last updated?

The NPPES record for Heena Rathod was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.