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DR. RACHEL SAWAYA MD
NPI 1053571786
Pediatrics in Midland, MI

Active since June 16, 2008PECOS Enrolled
4401 CAMPUS RIDGE DR STE 2000, MIDLAND, MI 48640(989) 837-9250(989) 837-9255 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 22, 2017, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Rachel Sawaya Md NPPES

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

DR. RACHEL SAWAYA MD (NPI 1053571786) is an individual pediatrics provider in Midland, Michigan, licensed in Michigan (4301091930) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053571786
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. RACHEL SAWAYACredential: MD
Location Address4401 CAMPUS RIDGE DR STE 2000Midland, MI 48640-6125
Mailing Address4401 N Campus Ridge DrMidland, MI 48640-6112 · (989) 837-9250 · Fax (989) 837-9255
Phone(989) 837-9250
Fax(989) 837-9255
Sole ProprietorYes
Enumeration DateJune 16, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1053571786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301091930
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4401 CAMPUS RIDGE DR STE 2000, Midland, MI 48640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rachel Sawaya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rachel Sawaya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Midland
0.2 mi
Multi-Specialty
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 536 clinicians in this Medicare group
NPI 1205889490 (844) 832-1956
Mymichigan Medical Center Gladwin
26 mi
Emergency Medicine
515 QUARTER ST
Gladwin, MI 48624
  • Reassigned Medicare billing, Michigan enrollment
  • 162 clinicians in this Medicare group
NPI 1073999298 (989) 426-9286
Mymichigan Medical Center Alpena
107 mi
Obstetrics & Gynecology
346 LONG RAPIDS PLZ
Alpena, MI 49707
  • Reassigned Medicare billing, Michigan enrollment
  • 219 clinicians in this Medicare group
NPI 1427282011 (989) 356-6353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

ADAM JOHN HAMILTON M.D.
Pediatrics
4401 CAMPUS RIDGE DR STE 2000
MIDLAND, MI 48640
Midland County (989) 837-9250
MRS. MONIQUE MCKAY MCMILLAN LMSW
Social Worker (Clinical)
4401 CAMPUS RIDGE DR STE 2000
MIDLAND, MI 48640
Midland County (989) 837-9250

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 Rachel Sawaya's NPI number?

The NPI number for Rachel Sawaya is 1053571786. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Rachel Sawaya located?

Rachel Sawaya practices at 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640. The listed phone number is (989) 837-9250.

What is Rachel Sawaya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rachel Sawaya enrolled in Medicare?

Yes. Rachel Sawaya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachel Sawaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Sawaya reassigns Medicare benefits to 3 organizations: Mymichigan Medical Center Midland (Midland, MI), Mymichigan Medical Center Gladwin (Gladwin, MI) and Mymichigan Medical Center Alpena (Alpena, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Sawaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Sawaya accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Rachel Sawaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rachel Sawaya was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.