Dr Nisha Rathi, MD - Medicare Critical Care (intensivists) in Houston, TX

Dr Nisha Rathi, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Houston, Texas. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1999 and has 25 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Physicians Referral Service and her current practice location is 1515 Holcombe Blvd, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 792-6161.

Dr Nisha Rathi is licensed to practice in Texas (license number L4665) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528269016.

Contact Information

Dr Nisha Rathi, MD
1515 Holcombe Blvd,
Houston, TX 77030-4009
(713) 792-6161
Not Available

Map and Direction




Physician's Profile

Full NameDr Nisha Rathi
GenderFemale
SpecialityCritical Care (intensivists)
Experience25 Years
Location1515 Holcombe Blvd, Houston, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nisha Rathi attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1999
  NPI Data:
  • NPI Number: 1528269016
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 07/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9436243201
  • Enrollment ID: I20070924000780

Medical Identifiers

Medical identifiers for Dr Nisha Rathi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528269016NPI-NPPES
110236237OtherTXRAILROAD MEDICARE
150566103 (MDACC)MedicaidTX
8A4311OtherBCBSTX
8U4513OtherTXBCBS (MDACC)
150566102MedicaidTX
P00663634OtherTXRR MEDICARE (MDACC)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine L4665 (Texas)Primary
207RP1001XInternal Medicine - Pulmonary Disease L4665 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Referral Service79118014102406

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nisha Rathi allows following entities to bill medicare on her behalf.
Entity NameUt Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268
Entity NamePhysicians Referral Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nisha Rathi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nisha Rathi, MD
Po Box 4439,
Houston, TX 77210-4439

Ph: (713) 792-2991
Dr Nisha Rathi, MD
1515 Holcombe Blvd,
Houston, TX 77030-4009

Ph: (713) 792-6161

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.