DR. RACHEL SINA SUSSMAN MD
NPI 1184064396
Family Medicine in San Jose, CA

Q: What is Rachel Sussman's NPI number?

The NPI number for Rachel Sussman is 1184064396. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Q: What is Rachel Sussman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachel Sussman was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 02, 2013PECOS EnrolledAccepts Medicare Assignment

455 OCONNOR DR STE 210, SAN JOSE, CA 95128(408) 283-7767 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rachel Sina Sussman Md NPPES

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

DR. RACHEL SINA SUSSMAN MD (NPI 1184064396) is an individual family medicine provider in San Jose, California, licensed in California (A133996) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2013).

NPPES Registry Identity

NPI1184064396

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RACHEL SINA SUSSMANCredential: MD

Location Address455 OCONNOR DR STE 210San Jose, CA 95128-1632

Mailing Address455 Oconnor Dr Ste 210San Jose, CA 95128-1632 · (408) 283-7767

Phone(408) 283-7767

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2013

Enumeration DateJuly 2, 2013

Last NPPES UpdateApril 10, 2023

NPPES CertifiedApril 10, 2023

✔ NPI 1184064396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A133996

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.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License A133996 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

455 OCONNOR DR STE 210, San Jose, CA 95128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rachel Sina Sussman Md 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 ID5395006811

PECOS Enrollment IDI20180226001376

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

Medicare enrollment records show Rachel Sussman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indian Health Center Of Santa Clara Valley

0.3 mi

Federally Qualified Health Center (FQHC)

2030 FOREST AVE STE 110
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
66 clinicians in this Medicare group

NPI 1326425265 (408) 445-3400

University Healthcare Alliance

16 mi

Internal Medicine

7999 GATEWAY BLVD STE 200
Newark, CA 94560

Reassigned Medicare billing, California enrollment
435 clinicians in this Medicare group

NPI 1760531198 (888) 924-1036

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

Areas of Expertise CMS Part B claims 9

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 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.

148 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services22 patients

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.

42 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services27 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.

19 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 6

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

NATALIE ROSE RECH MD

Emergency Medicine