Shivani Rathod
NPI 1629844006 · Physician Assistant · Exton, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivani Rathod is a Physician Assistant provider in Exton, PA (NPI 1629844006).
Provider details
- NPI number
- 1629844006
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
2 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
426 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 146 | $14 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 139 | $112 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 68 | $79 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 37 | $62 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 36 | $63 |
Typical Medicare-allowed amounts for these services range $14–$112 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 158 | 58 |
| Alendronate Sodium | 54 | 30 |
| Methotrexate Sodiumbrand: Methotrexate | 51 | 30 |
| Hydroxychloroquine Sulfate | 39 | 29 |
| Celecoxib | 31 | 12 |
| Allopurinol | 16 | — |
| Gabapentin | 15 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,593 across 60 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 215 E State StIthaca, NY 14850-5547Phone: (607) 274-7007
Registry dates
- Enumerated
- 2023-11-28
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Frequently asked questions
- What is Shivani Rathod's NPI number?
- Shivani Rathod's National Provider Identifier (NPI) is 1629844006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivani Rathod's specialty?
- Shivani Rathod is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shivani Rathod located?
- Shivani Rathod's practice location on file with NPPES is 766 W Lincoln Hwy, Exton, PA 19341-2547.
- What is Shivani Rathod's phone number?
- The practice phone number listed in the NPPES registry for Shivani Rathod is (484) 206-4447.
- Does Shivani Rathod accept Medicare?
- Shivani Rathod is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivani Rathod's NPI active?
- Yes — Shivani Rathod's NPI (1629844006) is active in the NPPES registry as of the last update on 2024-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.