1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Family Medicine
  6. NPI Profile

DR. ELISABETH REGINA WIDMAN MD
NPI 1831173855
Family Medicine in San Rafael, CA

Active since December 02, 2005PECOS Enrolled
706 D ST, E REGINA WIDMAN MD, SAN RAFAEL, CA 94901(415) 256-1980(415) 256-1981 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elisabeth Regina Widman Md NPPES

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

DR. ELISABETH REGINA WIDMAN MD (NPI 1831173855) is an individual family medicine provider in San Rafael, California, licensed in California (G46518) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1975).

NPPES Registry Identity

NPI1831173855
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELISABETH REGINA WIDMANCredential: MD
Location Address706 D ST, E REGINA WIDMAN MDSan Rafael, CA 94901-3757
Mailing Address706 D StSan Rafael, CA 94901-3757 · (415) 256-1980 · Fax (415) 256-1981
Phone(415) 256-1980
Fax(415) 256-1981
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1975
Enumeration DateDecember 2, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831173855 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 · G46518
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.
706 D ST, San Rafael, CA 94901
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. E Regina Widman Md

Other Identifiers 1

Medicare UPINA50409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elisabeth Regina Widman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486698412
PECOS Enrollment IDI20050610000533
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 7

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 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.
215 services178 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.
154 services154 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
70 services52 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.
14 services14 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.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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 3

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

MS. LAURA FOSTER COLLINS MFT
Marriage & Family Therapist
706 D ST
SAN RAFAEL, CA 94901
Marin County (415) 456-1684
MARIN HEALTHCARE DISTRICT
Family Medicine (Adult Medicine)
706 D ST
SAN RAFAEL, CA 94901
Marin County (415) 256-1980
MR. RONALD GOLDEN RONALD GOLDEN, L.AC.
Acupuncturist
706 D ST
SAN RAFAEL, CA 94901
Marin County (415) 456-1376

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 Elisabeth Widman's NPI number?

The NPI number for Elisabeth Widman is 1831173855. It was assigned to this individual provider in the NPPES registry on December 2, 2005. The provider is also known as Dr. E Regina Widman MD.

Where is Elisabeth Widman located?

Elisabeth Widman practices at 706 D St E Regina Widman MD, San Rafael, CA 94901. The listed phone number is (415) 256-1980.

What is Elisabeth Widman's specialty?

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

Is Elisabeth Widman enrolled in Medicare?

Yes. Elisabeth Widman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Widman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.