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ROELIZA E. PASCUA M.D.
NPI 1861503443
Internal Medicine in San Jose, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
83.56/100
CMS Quality Rating
625 LINCOLN AVE, SAN JOSE, CA 95126(408) 278-3003(408) 278-3298 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roeliza E. Pascua M.d. NPPES

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

ROELIZA E. PASCUA M.D. (NPI 1861503443) is an individual internal medicine provider in San Jose, California, licensed in California (A72733) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1861503443
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameROELIZA E. PASCUACredential: M.D.
Location Address625 LINCOLN AVESan Jose, CA 95126-3705
Mailing Address625 Lincoln AveSan Jose, CA 95126-3785 · (408) 871-3400
Phone(408) 278-3003
Fax(408) 278-3298
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1861503443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A72733
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.
625 LINCOLN AVE, San Jose, CA 95126
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Other Identifiers 1

Medicaid00A727330CA

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

Roeliza E. Pascua 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 ID6709912165
PECOS Enrollment IDI20100325000277
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 10

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.
433 services222 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.
143 services143 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.
120 services101 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.
95 services95 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.
95 services94 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
59 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95126 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
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.

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.

83.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost61.45

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers47 claims122 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims20 services$1.16 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 20

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

ROBERT FILUK M.D.
Internal Medicine (Pulmonary Disease)
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (408) 871-3400
HD ULTRASOUND, LLC
Clinic/Center (Radiology)
625 LINCOLN AVE, SUITE 201
SAN JOSE, CA 95126
Santa Clara County (408) 288-7705
MATTHEW HUNG TRANDUC M.D.
Surgery
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (408) 871-3400
DONALD FOX MD
Radiology (Diagnostic Radiology)
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (408) 278-3370
DAVID WONG M.D.
Internal Medicine
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (408) 871-3400
VERITY MEDICAL FOUNDATION
Clinic/Center (Multi-Specialty)
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (405) 278-3000
DR. ANTHONY C LOPEZ M.D.
Internal Medicine (Cardiovascular Disease)
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (408) 278-3003
DR. SILAJA YITTA MD
Radiology (Diagnostic Radiology)
625 LINCOLN AVE
SAN JOSE, CA 95126
Santa Clara County (408) 871-5250

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 Roeliza Pascua's NPI number?

The NPI number for Roeliza Pascua is 1861503443. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Roeliza Pascua located?

Roeliza Pascua practices at 625 Lincoln Ave, San Jose, CA 95126. The listed phone number is (408) 278-3003.

What is Roeliza Pascua's specialty?

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

Is Roeliza Pascua enrolled in Medicare?

Yes. Roeliza Pascua 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 Roeliza Pascua was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.