Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RACHNA SHROFF MD
NPI 1942425350
Internal Medicine - Hematology & Oncology in Tucson, AZ

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
3838 N CAMPBELL AVE UNIT 10, TUCSON, AZ 85719(314) 853-1185 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rachna Shroff Md NPPES

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

DR. RACHNA SHROFF MD (NPI 1942425350) is an individual hematology & oncology provider in Tucson, Arizona, licensed in Texas (M7626) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2004).

NPPES Registry Identity

NPI1942425350
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RACHNA SHROFFCredential: MD
Location Address3838 N CAMPBELL AVE UNIT 10Tucson, AZ 85719-1454
Mailing Address1515 N Campbell AveTucson, AZ 85724-0001 · (314) 853-1185
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2004
Enumeration DateApril 13, 2007
Last NPPES UpdateOctober 18, 2026
NPPES CertifiedAugust 30, 2024
✔ NPI 1942425350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · M7626
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3838 N CAMPBELL AVE UNIT 10, Tucson, AZ 85719

Accepted 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

Dr. Rachna Shroff 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 ID6103908934
PECOS Enrollment IDI20180405001260
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 Reassignment

Medicare enrollment records show Rachna Shroff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nutrition, Education
6261 N LA CHOLLA BLVD STE 131
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 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.

Areas of Expertise CMS Part B claims 3

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 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.
216 services74 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.
32 services32 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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 Rachna Shroff's NPI number?

The NPI number for Rachna Shroff is 1942425350. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Rachna Shroff located?

Rachna Shroff practices at 3838 N Campbell Ave Unit 10, Tucson, AZ 85719. The listed phone number is (314) 853-1185.

What is Rachna Shroff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rachna Shroff enrolled in Medicare?

Yes. Rachna Shroff 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 organization bills Medicare for Rachna Shroff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachna Shroff reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). 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 Rachna Shroff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachna Shroff accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Rachna Shroff 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 Rachna Shroff was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.