RACHAEL HARRIS PROUMEN DO
NPI 1851854822
Internal Medicine in Norfolk, VA

Q: What is Rachael Proumen's NPI number?

The NPI number for Rachael Proumen is 1851854822. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Rachael Proumen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachael Proumen was last updated on November 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment

830 KEMPSVILLE RD FL 1, NORFOLK, VA 23502(757) 261-8070(757) 995-7095 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2023, Jul 17, 2023, Apr 8, 2019 (3 updates tracked since 2019).

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About Rachael Harris Proumen Do NPPES

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

RACHAEL HARRIS PROUMEN DO (NPI 1851854822) is an individual internal medicine provider in Norfolk, Virginia, licensed in Virginia (0102208023) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851854822

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameRACHAEL HARRIS PROUMENCredential: DO

Location Address830 KEMPSVILLE RD FL 1Norfolk, VA 23502-3920

Mailing Address750 E Adams StSyracuse, NY 13210-2306

Phone(757) 261-8070

Fax(757) 995-7095

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 8, 2019

Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1851854822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0102208023

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 0102208023 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

830 KEMPSVILLE RD FL 1, Norfolk, VA 23502

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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

Rachael Harris Proumen Do 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 ID3173993409

PECOS Enrollment IDI20230823000816

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

519 services234 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

145 services68 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

125 services125 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

75 services75 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 16

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

RANJANA NEELANJANA MITRA MD

Internal Medicine