DR. PRABODH DEOKARANJI RATHI MD
NPI 1942449780
Internal Medicine in Freedom, CA

Active since February 18, 2009PECOS EnrolledAccepts Medicare Assignment
108 GREEN VALLEY RD, FREEDOM, CA 95019(831) 319-4194(831) 319-4197 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Dec 20, 2015 (2 updates tracked since 2015).

About Dr. Prabodh Deokaranji Rathi Md NPPES

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

DR. PRABODH DEOKARANJI RATHI MD (NPI 1942449780) is an individual internal medicine provider in Freedom, California, licensed in California (122987) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1942449780
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRABODH DEOKARANJI RATHICredential: MD
Location Address108 GREEN VALLEY RDFreedom, CA 95019-3110
Mailing Address108 Green Valley RdFreedom, CA 95019-3110 · (831) 319-4194 · Fax (831) 319-4197
Fax(831) 319-4197
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 18, 2009
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPI 1942449780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · 122987 Licensed in AZ · 41376
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

108 GREEN VALLEY RD, Freedom, CA 95019

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

Dr. Prabodh Deokaranji Rathi 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 ID5597819144
PECOS Enrollment IDI20150428001774
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 95019 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
$141.77 typical visit price
range $62.97 – $186.69
Typical copayment $35.44 (range $15.74 – $46.67)
Most-billed visit code 99204
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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 3

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

Nurse Practitioner (Family)
108 GREEN VALLEY RD
FREEDOM, CA 95019
Physician Assistant
108 GREEN VALLEY RD
FREEDOM, CA 95019
Family Medicine
108 GREEN VALLEY RD
FREEDOM, CA 95019

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 Prabodh Rathi's NPI number?

The NPI number for Prabodh Rathi is 1942449780. It was assigned to this individual provider in the NPPES registry on February 18, 2009.

Where is Prabodh Rathi located?

Prabodh Rathi practices at 108 Green Valley Rd, Freedom, CA 95019. The listed phone number is (831) 319-4194.

What is Prabodh Rathi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prabodh Rathi enrolled in Medicare?

Yes. Prabodh Rathi 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.

When was this NPI record last updated?

The NPPES record for Prabodh Rathi was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.