MS. SUSI INEZ RUGAMA NP
NPI 1396078697
Nurse Practitioner in Stanford, CA
About Ms. Susi Inez Rugama Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUSI INEZ RUGAMA NP (NPI 1396078697) is an individual nurse practitioner in Stanford, California, licensed in California (19513) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Ms. Susi Inez Rugama Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Susi Rugama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakland, CA 94612
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mathias Masem MD
- 3 clinicians in this Medicare group
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 137 clinicians in this Medicare group
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 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Susi Rugama's NPI number?
The NPI number for Susi Rugama is 1396078697. It was assigned to this individual provider in the NPPES registry on September 17, 2009. The provider is also known as Susan Inez Rugama.
Where is Susi Rugama located?
Susi Rugama practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Susi Rugama's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Susi Rugama enrolled in Medicare?
Yes. Susi Rugama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susi Rugama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susi Rugama reassigns Medicare benefits to 2 organizations: Mathias Masem, M.D. (Oakland, CA) and Integrated Pain Management Medical Group, Inc. (Walnut Creek, CA). 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 Susi Rugama'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 Susi Rugama was last updated on June 29, 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.
# Ms. Susi Inez Rugama, NP · NPI 1396078697
Nurse Practitioner physician in Stanford, California. Individual provider, active in the CMS NPPES registry since September 17, 2009.
## Identity
- **NPI:** 1396078697 (Entity type: Individual)
- **Enumerated:** September 17, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 19513 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mathias Masem, M.D. (NPI 1457371643, Oakland, CA); Integrated Pain Management Medical Group, Inc. (NPI 1922198779, Walnut Creek, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396078697) · Data from the CMS NPPES public registry.