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SATPAL SINGH RATHOUR M.D
NPI 1972834091
Psychiatry & Neurology - Psychiatry in Shirley, NY

Active since January 29, 2010PECOS EnrolledAccepts Medicare Assignment
1250 WILLIAM FLOYD PKWY STE 1A, SHIRLEY, NY 11967(631) 913-3529(631) 657-3273 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Satpal Singh Rathour M.d NPPES

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

SATPAL SINGH RATHOUR M.D (NPI 1972834091) is an individual psychiatry provider in Shirley, New York, licensed in New York (253470) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1972834091
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSATPAL SINGH RATHOURCredential: M.D
Location Address1250 WILLIAM FLOYD PKWY STE 1AShirley, NY 11967-1809
Mailing Address1250 William Floyd PkwyShirley, NY 11967-1809 · (631) 913-3529 · Fax (631) 657-3273
Phone(631) 913-3529
Fax(631) 657-3273
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 29, 2010
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1972834091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 253470
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSpecialistTaxonomy 174400000X · License 253470 (NY)
1250 WILLIAM FLOYD PKWY STE 1A, Shirley, NY 11967
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Other Identifiers 2

Other253470NY · License
Medicaid03246848NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Satpal Singh Rathour M.d 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 ID244407674
PECOS Enrollment IDI20120125000468
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 Reassignments

3

Medicare enrollment records show Satpal Rathour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Satpal Rathour Medicine PC
Same address
Specialist
1250 WILLIAM FLOYD PKWY
Shirley, NY 11967
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1881987584 (631) 913-3529
Brookhaven Memorial Hospital Medical Center
4.5 mi
Family Medicine
515 BELLPORT AVE
Bellport, NY 11713
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1184041899 (631) 227-6600
Jamaica Psychiatric Services, PC
50 mi
Psychiatric Unit
8900 VAN WYCK EXPY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
NPI 1427005065 (718) 206-7160

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 5

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.

Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
772 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
741 services67 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
78 services15 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.
33 services25 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11967 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Satpal Rathour's NPI number?

The NPI number for Satpal Rathour is 1972834091. It was assigned to this individual provider in the NPPES registry on January 29, 2010.

Where is Satpal Rathour located?

Satpal Rathour practices at 1250 William Floyd Pkwy Ste 1A, Shirley, NY 11967. The listed phone number is (631) 913-3529.

What is Satpal Rathour's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Satpal Rathour enrolled in Medicare?

Yes. Satpal Rathour 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 organizations bill Medicare for Satpal Rathour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Satpal Rathour reassigns Medicare benefits to 3 organizations: Satpal Rathour Medicine PC (Shirley, NY), Brookhaven Memorial Hospital Medical Center (Bellport, NY) and Jamaica Psychiatric Services, PC (Jamaica, NY). Each 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 Satpal Rathour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Satpal Rathour accept?

Health plans from Oscar Health list Satpal Rathour 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 Satpal Rathour was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.