Active NPI 1386966083 Individual Practitioner Female Practitioner

Dr. Zulehuma Rather , MD

Internal Medicine • Dover, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Zulehuma Rather, MD is a certified Internal Medicine practicing in Dover, DE. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Rather delivers high-quality medical care to the local community at 720 S QUEEN ST.

Dr. Rather is affiliated with Bayhealth Medical Center, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

720 S Queen St

Dover, DE 199043567

Telephone 3027347834

Fax 3027347847

Associated Practice Facility / Clinic

🏢 Tooze Easter & Manifold M.d. P.a Facility NPI 1972520716

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -0.9 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

47 Specialists

Practicing in Dover, DE (625 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

41.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rather (23 Years) 23 Yrs

Dover Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	171	$258.38	$125.91
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	254	155	$25.98	$16.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$210.86	$126.97
99213 Established patient office or other outpatient visit, typically 15 minutes	71	58	$174.82	$89.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	48	$261.95	$177.33
G0008 Administration of influenza virus vaccine	48	45	$50.38	$31.89
90662 Influenza vaccine split virus, preservative free	44	42	$119.38	$80.02
99495 Transitional care management services for problem of at least moderate complexity	21	20	$302.14	$202.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	15	$108.88	$52.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$314.18	$161.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	155	$246.97	$127.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	143	143	$203.92	$130.49
99213 Established patient office or other outpatient visit, typically 15 minutes	116	82	$167.28	$91.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	51	17	$69.18	$62.86
G0008 Administration of influenza virus vaccine	48	45	$47.75	$30.63
90662 Influenza vaccine split virus, preservative free	40	39	$108.20	$71.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$297.25	$166.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$251.07	$180.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$103.33	$52.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	202	$243.00	$131.00
99213 Established patient office or other outpatient visit, typically 15 minutes	126	98	$165.00	$92.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$200.00	$134.56
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	60	21	$68.00	$64.93
G0008 Administration of influenza virus vaccine	48	45	$46.00	$30.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$295.00	$171.97
90662 Influenza vaccine split virus, preservative free	41	39	$86.00	$67.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	20	$101.00	$54.46
99495 Transitional care management services for problem of at least moderate complexity	18	17	$286.00	$212.03
81002 Urinalysis, manual test	14	12	$7.00	$3.44
G0009 Administration of pneumococcal vaccine	14	14	$46.00	$30.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	262	$243.00	$133.14
99213 Established patient office or other outpatient visit, typically 15 minutes	81	69	$165.00	$93.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$200.00	$137.09
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	56	16	$68.00	$42.10
G0008 Administration of influenza virus vaccine	53	50	$46.00	$17.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	48	48	$295.00	$173.55
90662 Influenza vaccine split virus, preservative free	46	43	$86.00	$64.89
G0009 Administration of pneumococcal vaccine	29	29	$46.00	$17.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$133.00	$124.66
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	18	18	$105.00	$63.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$373.00	$172.57
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$136.13	$94.60
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	16	16	$154.00	$94.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	176	$239.70	$111.65
99442 Telephone medical discussion with physician, 11-20 minutes	86	70	$143.60	$77.33
99213 Established patient office or other outpatient visit, typically 15 minutes	83	68	$162.83	$77.25
99443 Telephone medical discussion with physician, 21-30 minutes	61	58	$210.92	$112.98
G0008 Administration of influenza virus vaccine	40	40	$45.85	$16.77
90662 Influenza vaccine split virus, preservative free	35	35	$85.74	$58.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$198.60	$120.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$241.26	$112.00
G0009 Administration of pneumococcal vaccine	20	20	$45.40	$15.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$371.06	$160.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$98.60	$54.95
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$130.08	$97.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	192	$230.18	$110.42
99213 Established patient office or other outpatient visit, typically 15 minutes	201	145	$156.48	$76.07
G0008 Administration of influenza virus vaccine	68	64	$43.79	$16.88
90662 Influenza vaccine split virus, preservative free	55	53	$82.84	$54.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	42	42	$278.86	$174.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$228.51	$111.53
G0009 Administration of pneumococcal vaccine	37	37	$42.65	$16.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	27	$29.27	$15.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$191.20	$114.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$353.52	$169.06
90670 Pneumococcal vaccine for injection into muscle	23	23	$240.74	$207.10
99495 Transitional care management services for problem of at least moderate complexity	21	16	$266.86	$168.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$95.68	$54.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$122.67	$109.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$94.00	$46.43
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	11	$31.38	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	273	153	$154.00	$73.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	139	$227.00	$107.16
G0008 Administration of influenza virus vaccine	62	59	$42.00	$20.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$227.00	$110.48
G0009 Administration of pneumococcal vaccine	53	53	$42.00	$20.82
90662 Influenza vaccine split virus, preservative free	52	51	$40.00	$39.20
99495 Transitional care management services for problem of at least moderate complexity	28	25	$264.00	$167.05
90670 Pneumococcal vaccine for injection into muscle	27	27	$238.00	$198.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$276.00	$168.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$121.00	$105.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$94.00	$54.76
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$36.00	$15.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	274	158	$154.00	$73.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	113	$227.00	$106.17
G0008 Administration of influenza virus vaccine	55	53	$42.00	$25.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$227.00	$110.45
90662 Influenza vaccine split virus, preservative free	42	40	$40.00	$39.20
G0009 Administration of pneumococcal vaccine	40	40	$42.00	$25.89
90670 Pneumococcal vaccine for injection into muscle	24	24	$238.00	$185.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$92.00	$44.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$121.00	$95.23
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$30.00	$18.65
81002 Urinalysis, manual test	13	11	$6.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2024-10-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C10010038

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Bayhealth Medical Center, Inc

640 S State St, Dover, DE 199013530

Bayhealth Medical Center, Inc

720 S Queen St, Dover, DE 199043567

Phone: 3027347834

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Abdul Muhaymin Siyal , MD

Internal Medicine

NPI 1033649538

Doctor of Medicine (M.D.)

Dr. Joseph Parise , DO

Family Medicine

NPI 1134114580

Doctor of Osteopathic Medicine (D.O.)

Suzanne Chafin , LPCMH

Counselor - Mental Health

NPI 1497802540

Dr. Patience Ankomah , MD

Family Medicine

NPI 1629193867

Doctor of Medicine (M.D.)

Margaret Pisano , LPCMH

Counselor - Mental Health

NPI 1649564808

Dr. Amita Jain , MD

Internal Medicine

NPI 1700231867

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 22, 2024

Registered at 720 S QUEEN ST, DOVER, DE 199043567 (Tel: 3027347834)

📍

Updated Business Mailing Address July 30, 2019

Registered at 640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 199013530 (Tel: 3024801688)

✅

NPI Profile Active March 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2013

Registered at 200 BANNING ST, STE 150, DOVER, DE 199043485 (Tel: 3027347834)

📍

Updated Business Mailing Address March 04, 2013

Registered at 714 GREEN WINGED TRL, CAMDEN WYOMING, DE 199349530 (Tel: 6107231080)

👤

Provider Name / Credentials Updated March 04, 2013

Recorded as ZULEHUMA RATHER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2013

Internal Medicine (License #C10010038 in DE)

🟢

Initial NPI Registration & Enumeration February 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Zulehuma Rather. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1386966083

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 22, 2010

Last Update: October 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

640 S. State Street, Mail Code 3055

Dover, DE 199013530

Phone: 3027347834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.