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DR. ADELAIDE WILLIS MD
NPI 1073561346
Family Medicine in West Covina, CA

Active since May 05, 2006PECOS Enrolled
1500 W WEST COVINA PKWY, WEST COVINA, CA 91790(626) 960-8614(626) 960-8624 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adelaide Willis Md NPPES

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

DR. ADELAIDE WILLIS MD (NPI 1073561346) is an individual family medicine provider in West Covina, California, licensed in California (A44131) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1073561346
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADELAIDE WILLISCredential: MD
Location Address1500 W WEST COVINA PKWYWest Covina, CA 91790-2708
Mailing Address1500 W West Covina PkwyWest Covina, CA 91790-2708 · (626) 960-8614 · Fax (626) 960-8624
Phone(626) 960-8614
Fax(626) 960-8624
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMay 5, 2006
Last NPPES UpdateApril 28, 2011
✔ NPI 1073561346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A44131
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.
1500 W WEST COVINA PKWY, West Covina, CA 91790
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Other Identifiers 3

Medicare UPINF12098CA
Medicaid00A441310CA
Medicare PINDA322ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6103954003
PECOS Enrollment IDI20100513001044
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 3

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.
209 services93 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers31 claims50 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers14 claims16 services$0.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

MR. KAMLESH T MANIA
Pharmacist
1500 W WEST COVINA PKWY, SUITE 100
WEST COVINA, CA 91790
Los Angeles County (626) 338-7233
MR. ELIOT ALAN WARON PA-C
Physician Assistant
1500 W WEST COVINA PKWY, STE 102
WEST COVINA, CA 91790
Los Angeles County (818) 295-5920
PNK PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
1500 W WEST COVINA PKWY, STE 100
WEST COVINA, CA 91790
Los Angeles County (626) 338-7233
WEST COVINA MEDICAL CLINIC
Family Medicine
1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 960-8614
DARRELL ANTHONY CARTER P.A.
Physician Assistant
1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 856-2226
MS. CLARA EDOBOR NP
Nurse Practitioner
1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 430-9996
DR. VAN HONG DUONG M.D.
Family Medicine
1500 W WEST COVINA PKWY, STE 101
WEST COVINA, CA 91790
Los Angeles County (626) 263-7020
DR. KAMEL AZMY M.D.
Pediatrics
1500 W WEST COVINA PKWY, STE 201
WEST COVINA, CA 91790
Los Angeles County (626) 263-7020

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 Adelaide Willis's NPI number?

The NPI number for Adelaide Willis is 1073561346. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Adelaide Willis located?

Adelaide Willis practices at 1500 W West Covina Pkwy, West Covina, CA 91790. The listed phone number is (626) 960-8614.

What is Adelaide Willis's specialty?

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

Is Adelaide Willis enrolled in Medicare?

Yes. Adelaide Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adelaide Willis was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.