Individual provider Active NPI

Siddhartha Rath, M.D.

  • Surgery Physician
  • Arlington, TX
National Provider Identifier
1255541504
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P8530 Issued in TX
Practice address
3215 Omega Dr
Arlington, TX 76014-2006
Phone
(817) 466-7400
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 025375 LA
Surgery Physician 208600000X P8530 TX Primary
Surgery Physician 208600000X A100317 CA

Addresses

Primary practice location

3215 Omega Dr
Arlington, TX 76014-2006

Mailing address

204 Stockton Dr
Southlake, TX 76092-2224
Phone (318) 769-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140319000928 TX Practitioner - General Surgery 4789647181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4375 Booth Calloway Rd
Suite 210
North Richland Hills, TX 76180-8362
Phone (817) 678-5988

Hospital & facility affiliations

  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087
  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8530TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siddhartha Rath MD PA CurrentSince Nov 29, 2018 Accepting new patients
New England Radiological Consortium, LLC Past Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC Trauma Surgery PastSince Jun 12, 2022 Accepting new patients

Locations

3215 Omega Dr
Arlington, TX 76014
Phone (817) 466-7400

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

4375 Booth Calloway Rd
Ste 210
North Richlnd Hls, TX 76180
Phone (817) 284-9797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCD/Endpoint/DGHCCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1255541504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 STOCKTON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922224",
            "telephone_number": "318-769-3501",
            "fax_number": "318-769-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142006",
            "telephone_number": "817-466-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATH",
        "first_name": "SIDDHARTHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "LA",
            "license": "025375",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P8530",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A100317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.