Dr Rajendra S Rathour, MD - Medicare Internal Medicine in Milwaukee, WI

Dr Rajendra S Rathour, MD is a medicare enrolled "Internal Medicine" physician in Milwaukee, Wisconsin. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wheaton Franciscan Medical Group Inc and his current practice location is 3201 S 16th St, Room 1000, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 389-3180.

Dr Rajendra S Rathour is licensed to practice in Wisconsin (license number 33194) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235128844.

Contact Information

Dr Rajendra S Rathour, MD
3201 S 16th St, Room 1000,
Milwaukee, WI 53215-4537
(414) 389-3180
(414) 645-8240

Map and Direction




Physician's Profile

Full NameDr Rajendra S Rathour
GenderMale
SpecialityInternal Medicine
Experience46 Years
Location3201 S 16th St, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rajendra S Rathour graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1235128844
  • Provider Enumeration Date: 10/17/2005
  • Last Update Date: 06/14/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1355422700
  • Enrollment ID: I20080111000365

Medical Identifiers

Medical identifiers for Dr Rajendra S Rathour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235128844NPI-NPPES
31847900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 33194 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Francis HospitalMilwaukee, WIHospital
Wheaton Franciscan Hc - Terrace At St FrancisMilwaukee, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheaton Franciscan Medical Group Inc8628980943565

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 Rajendra S Rathour allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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 Rajendra S Rathour 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 Rajendra S Rathour, MD
3201 S 16th St, Room 1000,
Milwaukee, WI 53215-4537

Ph: (414) 389-3180
Dr Rajendra S Rathour, MD
3201 S 16th St, Room 1000,
Milwaukee, WI 53215-4537

Ph: (414) 389-3180

Reviews and Comments


Internal Medicine Doctors in Milwaukee, WI

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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.