HETAL RATHOD APN
NPI 1952991176
Nurse Practitioner - Family in Somerville, NJ
About Hetal Rathod Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HETAL RATHOD APN (NPI 1952991176) is an individual family provider in Somerville, New Jersey, licensed in New Jersey (26NJ01084600) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Hetal Rathod Apn 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.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERVILLE, NJ 08876
SOMERVILLE, NJ 08876
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 Hetal Rathod's NPI number?
The NPI number for Hetal Rathod is 1952991176. It was assigned to this individual provider in the NPPES registry on January 21, 2021.
Where is Hetal Rathod located?
Hetal Rathod practices at 110 Rehill Ave, Somerville, NJ 08876. The listed phone number is (732) 586-9035.
What is Hetal Rathod's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hetal Rathod enrolled in Medicare?
Yes. Hetal Rathod 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.
What insurance does Hetal Rathod accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Hetal 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 Hetal Rathod was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
