DR. REIJA MATHESON RAWLE M.D.
NPI 1497018618
Family Medicine in Santa Clara, CA

Q: What is Reija Rawle's NPI number?

The NPI number for Reija Rawle is 1497018618. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Q: What is Reija Rawle'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 Reija Rawle was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 21, 2012PECOS EnrolledAccepts Medicare Assignment

2518 MISSION COLLEGE BLVD STE 101, SANTA CLARA, CA 95054(408) 688-9720(408) 688-9730 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Reija Matheson Rawle M.d. NPPES

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

DR. REIJA MATHESON RAWLE M.D. (NPI 1497018618) is an individual family medicine provider in Santa Clara, California, licensed in California (A127814) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2012).

NPPES Registry Identity

NPI1497018618

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. REIJA MATHESON RAWLECredential: M.D.

Location Address2518 MISSION COLLEGE BLVD STE 101Santa Clara, CA 95054-1239

Mailing Address2518 Mission College Blvd Ste 101Santa Clara, CA 95054-1239 · (408) 688-9720 · Fax (408) 688-9730

Phone(408) 688-9720

Fax(408) 688-9730

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2012

Enumeration DateJune 21, 2012

Last NPPES UpdateOctober 12, 2015

✔ NPI 1497018618 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 · A127814

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.

2518 MISSION COLLEGE BLVD STE 101, Santa Clara, CA 95054

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Reija Matheson Rawle M.d. 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 ID9638487440

PECOS Enrollment IDI20180823002225

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 4

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.

265 services123 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.

65 services65 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.

49 services41 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.

27 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220046

Location725 North StreetPittsfield, MA 01201 · Berkshire County

Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470012

Location100 Hospital DriveBennington, VT 05201 · Bennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95054 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.

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.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers11 claims11 services$83.34 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers22 claims22 services$34.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Reija Rawle's NPI number?

The NPI number for Reija Rawle is 1497018618. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Reija Rawle located?

Reija Rawle practices at 2518 Mission College Blvd Ste 101, Santa Clara, CA 95054. The listed phone number is (408) 688-9720.

What is Reija Rawle's specialty?

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

Is Reija Rawle enrolled in Medicare?

Yes. Reija Rawle 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.

What insurance does Reija Rawle accept?

Health plans from Anthem Blue Cross and Blue Shield list Reija Rawle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Reija Rawle affiliated with any hospitals?

According to CMS data, Reija Rawle is affiliated with Berkshire Medical Center and Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Reija Rawle was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.