JONATHAN RATHOD (MD) – Pulmonary Disease Physician, NPI 1174987267
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
411 CRITICAL CARE (INTENSIVISTS) in WI
Loading map...
Provider Addresses for JONATHAN RATHOD (MD)
Aurora Sinai Medical Center, 945, North 12th Street, Avenues West, Milwaukee, Milwaukee County, Wisconsin, 53233, United States
MILWAUKEE, WI 532331305
Phone:
Type: Mailing
3803 SPRING ST
MOUNT PLEASANT, WI 534051660
Phone: (262) 687-5236
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $572.
Total Amount is formed as General ($572) + Research ($0) + Ownership ($0) = $572.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Medtronic, Inc. ($406).
Total Amount
$572
General + Research + Ownership
Payments
6
Total payment records
General Amount
$572
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $406 |
| Pulmonx Corporation | $122 |
| AstraZeneca Pharmaceuticals LP | $44 |
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: 2022-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220927002342 | I | Pulmonary Disease | WI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 85 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 35 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 29 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 38 | 24 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 29 | 28 | $0 |
Insurance plans in this area (ZIP 53233)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Internal Medicine | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| U R O L O G Y | WI | |
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Vascular Surgery, General Surgery | WI | |
| - | ND | |
| Nephrology, Internal Medicine | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.