SIDDARTH RATHI (MD, MBA) – Ophthalmology Physician, NPI 1063770469

SIDDARTH RATHI (MD, MBA) is a healthcare provider. based in Largo, Florida. specializing in Ophthalmology Physician. They hold the professional credentials MD, MBA. They hold a License No. ME126967 (FL). The NPI Number for SIDDARTH RATHI (MD, MBA) is 1063770469

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SIDDARTH RATHI (MD, MBA)
NPI
1063770469
Phone
(727) 581-8706
Address
148 13th St SW
Enumeration Date
24 April 2012
Last Update Date
16 September 2019

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7275818706
Graduation Year
2012 (14 years ago)
PAC ID
8527355239
Group Practice PAC ID
5092629071
Professional Enrollment ID
I20160923001247
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for SIDDARTH RATHI (MD, MBA)

  • 148 13th St SW

    Largo, FL 33770

    Phone: (727) 581-8706

    Fax: (727) 588-2447

    Type: Location

  • 148 13TH ST SW

    LARGO, FL 33770

    Phone: (727) 581-8706

    Fax: (727) 588-2447

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170717002499IOphthalmologyNYTBD
I20220817003997IOphthalmologyVITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092629071View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YWA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
Physician AssistantFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is SIDDARTH RATHI (MD, MBA)'s NPI number?
SIDDARTH RATHI (MD, MBA)'s NPI is 1063770469 — the number used across U.S. healthcare to identify this provider.
Is SIDDARTH RATHI (MD, MBA) still an active registrant?
SIDDARTH RATHI (MD, MBA) carries an active NPI according to the public dataset.
What kind of doctor is SIDDARTH RATHI (MD, MBA)?
SIDDARTH RATHI (MD, MBA) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is SIDDARTH RATHI (MD, MBA) registered?
Use Largo, Florida as the headline location for SIDDARTH RATHI (MD, MBA) here.
Can I trust this NPI listing for SIDDARTH RATHI (MD, MBA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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