Elisabeth Regina Widman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G46518 Issued in CA

Practice address

706 D St
E Regina Widman MD
San Rafael, CA 94901-3757

Phone

(415) 256-1980

Fax

(415) 256-1981

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. E Regina Widman Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Miami, LM Miller School of Medicine, 1975

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
• Novato Community Hospital Hospital, Novato, CA, CCN 050131

Merit-based Incentive Payment System (MIPS)

Final score

81.03 of 100Reported as subgroup

Quality

80.86

Promoting interoperability

76

Improvement activities

40

Cost

75.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewidman106537@direct-ucsfmedicalcenter.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807
  Medicare reassignment Care Compare group NPD
• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• SRM Alliance Hospital Services

  • Skilled Nursing Facility
  • Petaluma, CA
  • NPI 1770703886
  NPD (past)
• University of California San Francisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831173855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013757",
            "telephone_number": "415-256-1980",
            "fax_number": "415-256-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 D ST",
            "address_2": "E REGINA WIDMAN MD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013757",
            "telephone_number": "415-256-1980",
            "fax_number": "415-256-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMAN",
        "first_name": "ELISABETH",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G46518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "WIDMAN",
            "middle_name": "REGINA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tona Wheeler, OTRL
• Anita Whiteley
• Dowaun Whitlow
• Cassandra Whittington
• Sophie Whynacht, PH.D.
• Leticia Wiesner
• Anthony Jason Wiggins, MD
• Orlando Terrell Wiggins Sr., RADT
• Loretta Wihlborg, P.T.
• Steve Richard Wilbur, M.S. MFT

• Family Medicine Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.