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RABIA FORMOLI MD
NPI 1245382472
Pediatrics in Modesto, CA

Active since January 17, 2007PECOS Enrolled
4601 DALE RD, MODESTO, CA 95356(209) 557-1000 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rabia Formoli Md NPPES

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

RABIA FORMOLI MD (NPI 1245382472) is an individual pediatrics provider in Modesto, California, licensed in California (A49408) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245382472
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRABIA FORMOLICredential: MD
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(209) 557-1000
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 27, 2021
✔ NPI 1245382472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A49408
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.
4601 DALE RD, Modesto, CA 95356
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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 (PECOS)

Rabia Formoli 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 Reassignment

Medicare enrollment records show Rabia Formoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
25 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95356 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

NATHAN STUEMPFIG D.O.
Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 715-1780
RAYVEN ZHANG
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (916) 856-2837
JAY PATEL
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-5000
BRIAN E. DOLNICK DO
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 557-1000
WEI LOONG GLENN KOH MD
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Stanislaus County (925) 200-1811
DR. JOSHUA MCKEE ANDERSON M.D.
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7200
JOSHUA MICHAEL
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-7590
HILARY GOLDEN CNM, WHNP
Midwife
4601 DALE RD
MODESTO, CA 95356
Stanislaus County (209) 735-5000

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 Rabia Formoli's NPI number?

The NPI number for Rabia Formoli is 1245382472. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Rabia Formoli located?

Rabia Formoli practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 557-1000.

What is Rabia Formoli's specialty?

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

Is Rabia Formoli enrolled in Medicare?

Yes. Rabia Formoli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rabia Formoli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rabia Formoli reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Rabia Formoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rabia Formoli was last updated on December 27, 2021. 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.