SARA SUSANNE ROURKE M.D.
NPI 1063702694
Pediatrics in La Mesa, CA

Q: What is Sara Rourke's NPI number?

The NPI number for Sara Rourke is 1063702694. It was assigned to this individual provider in the NPPES registry on April 16, 2011.

Q: What is Sara Rourke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sara Rourke was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2011PECOS Enrolled

5525 GROSSMONT CENTER DR, LA MESA, CA 91942(858) 499-2701 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sara Susanne Rourke M.d. NPPES

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

SARA SUSANNE ROURKE M.D. (NPI 1063702694) is an individual pediatrics provider in La Mesa, California, licensed in California (A137469) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1063702694

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSARA SUSANNE ROURKECredential: M.D.

Location Address5525 GROSSMONT CENTER DRLa Mesa, CA 91942-3009

Mailing Address5525 Grossmont Center DrLa Mesa, CA 91942-3009 · (858) 499-2701

Phone(858) 499-2701

Sole ProprietorNo

Enumeration DateApril 16, 2011

Last NPPES UpdateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1063702694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A137469

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.

5525 GROSSMONT CENTER DR, La Mesa, CA 91942

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Secondary Practice Location 1

Location 13020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 966-5841

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Susanne Rourke M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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