Siddhartha Rath MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SIDDHARTHA RATH MD PA

Practice address

3215 Omega Dr
Arlington, TX 76014-2006

Phone

(661) 203-4304

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Siddhartha Rath, MDNPI 1255541504

Title

Owner

Phone

(661) 203-4304

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siddhartha Rath, M.D.

  • Surgery Physician
  • Arlington, TX
  • NPI 1255541504
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1386119576",
    "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": "661-203-4304"
        },
        {
            "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": "661-203-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDHARTHA RATH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "RATH",
        "authorized_official_first_name": "SIDDHARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-203-4304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339868701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shorunke, LVN
• Shannon Showah, OT, PTA
• Sachin Shrestha, FNP-BC
• John V Shroyer, DDS PA
• Bridget Shu, APRN-CNP
• Abdullah Siddiqi, DO
• Farheen Siddiqui, MA, BCBA
• Yusra Siddiqui, MD
• Sukhdev Singh Sidhu, D.D.S.
• Tom Eldon Siegenthaler, RPH

• Medical Specialty Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.