RAHIB MANSOOR POONAWALA MD
NPI 1578522017
Family Medicine in Broadlands, VA

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
43300 SOUTHERN WALK PLAZA, SUITE 100, BROADLANDS, VA 20148(571) 252-7353(571) 223-1797 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rahib Mansoor Poonawala Md NPPES

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

RAHIB MANSOOR POONAWALA MD (NPI 1578522017) is an individual family medicine provider in Broadlands, Virginia, licensed in Virginia (0101234539) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2000).

NPPES Registry Identity

NPI1578522017
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAHIB MANSOOR POONAWALACredential: MD
Location Address43300 SOUTHERN WALK PLAZA, SUITE 100Broadlands, VA 20148-4463
Mailing Address224 D Cornwall Street Nw, Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Fax(571) 223-1797
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2000
Enumeration DateMarch 22, 2006
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1578522017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101234539
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.
43300 SOUTHERN WALK PLAZA, SUITE 100, Broadlands, VA 20148

Other Identifiers 4

Medicaid30015384640001VA
Medicaid010275326VA
Medicaid010275318VA
Medicaid1578522017VA

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

Rahib Mansoor Poonawala 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 ID9234038811
PECOS Enrollment IDI20061020000164
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 12

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.
219 services127 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
70 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
45 services45 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.
38 services33 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
38 services38 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.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20148 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers11 claims40 services$6.73 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 4

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

Physician Assistant
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148
Family Medicine
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148
Nurse Practitioner (Family)
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148
Nurse Practitioner (Family)
43300 SOUTHERN WALK PLAZA, SUITE 100
BROADLANDS, VA 20148

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 Rahib Poonawala's NPI number?

The NPI number for Rahib Poonawala is 1578522017. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Rahib Poonawala located?

Rahib Poonawala practices at 43300 Southern Walk Plaza, Suite 100, Broadlands, VA 20148. The listed phone number is (571) 252-7353.

What is Rahib Poonawala's specialty?

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

Is Rahib Poonawala enrolled in Medicare?

Yes. Rahib Poonawala 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.

When was this NPI record last updated?

The NPPES record for Rahib Poonawala was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.