DR. RUQAYA FATIMA M.D.
NPI 1013127554
Family Medicine in Walnut Creek, CA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1450 TREAT BLVD, SUITE 160, WALNUT CREEK, CA 94597(925) 286-9000(925) 296-9071 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ruqaya Fatima M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUQAYA FATIMA M.D. (NPI 1013127554) is an individual family medicine provider in Walnut Creek, California, licensed in California (A113642) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013127554
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RUQAYA FATIMACredential: M.D.
Location Address1450 TREAT BLVD, SUITE 160Walnut Creek, CA 94597-2168
Mailing AddressDept 34929, P.o. Box 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Fax(925) 296-9071
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2014
NPI 1013127554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A113642 Licensed in MI · 4301087928
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1450 TREAT BLVD, Walnut Creek, CA 94597

Other Identifiers 2

OtherP01332923CA · Railroad Medicare
Medicare PINCA117342CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ruqaya Fatima M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961548003
PECOS Enrollment IDI20110317000588
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
521 services482 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services125 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
121 services107 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
99 services99 patients
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
Levalbuterol is a medication used to treat breathing difficulties like those experienced in asthma. It's administered via a device called a nebulizer, which turns the solution into a fine mist for you to inhale. Each dose contains 0.5 mg of the medication.
72 services24 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
60 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94597 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Appropriate Testing for Pharyngitis
99%190 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
93%254 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
2%319 patients
Breast Cancer Screening
77%910 patients4/55-star benchmark: 93%
Cervical Cancer Screening
57%1,660 patients3/55-star benchmark: 98%
Childhood Immunization Status
40%40 patients
Chlamydia Screening for Women
40%182 patients
Colorectal Cancer Screening
57%1,959 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
79%784 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
26%238 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%238 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,447 patients5/55-star benchmark: 100%
e-Prescribing
99%1,550 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
52%984 patients3/55-star benchmark: 100%
HIV Screening
25%3,340 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%3,447 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%3,480 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 333 patients
92%333 patients
Provide Patients Electronic Access to Their Health Information
98%1,490 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%795 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Internal Medicine (Cardiovascular Disease)
1450 TREAT BLVD, SUITE 220B
WALNUT CREEK, CA 94597
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Internal Medicine
1450 TREAT BLVD, SUITE 120A
WALNUT CREEK, CA 94597
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Family Medicine
1450 TREAT BLVD, STE 160
WALNUT CREEK, CA 94597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruqaya Fatima's NPI number?

The NPI number for Ruqaya Fatima is 1013127554. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Ruqaya Fatima located?

Ruqaya Fatima practices at 1450 Treat Blvd Suite 160, Walnut Creek, CA 94597. The listed phone number is (925) 286-9000.

What is Ruqaya Fatima's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ruqaya Fatima enrolled in Medicare?

Yes. Ruqaya Fatima is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ruqaya Fatima was last updated on August 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.