MS. HEENA RATHOD CRNP
NPI 1932528189
Nurse Practitioner - Pediatrics in West Reading, PA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Heena Rathod Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heena Rathod reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11042
- Reassigned Medicare billing, New Jersey enrollment
- 417 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
WEST READING, PA 19611
WEST READING, PA 19611
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.
Which organization bills Medicare for Heena Rathod's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heena Rathod reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). The 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 Heena Rathod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heena Rathod accept?
Health plans from Oscar Health 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.
# Ms. Heena Rathod, CRNP · NPI 1932528189
Pediatrics physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1932528189 (Entity type: Individual)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP013119 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 WALNUT ST, West Reading, PA 19611-1242
- **Phone:** (610) 372-9222 · **Fax:** (610) 372-0232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Medical Care Of New Jersey PC (NPI 1578665048, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1932528189) · Data from the CMS NPPES public registry.