Active NPI
Roya Mirmiran, DPM
- Foot & Ankle Surgery Podiatrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5246
- Practice address
- 2725 Capitol Ave
Suite 302
Sacramento, CA 95816-6004 - Phone
- (916) 262-9464
- Fax
- (916) 262-9468
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5246 | CA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 263 | NM |
Addresses
Primary practice location
2725 Capitol Ave
Suite 302
Sacramento, CA 95816-6004
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000B5859 | Medicaid | NM |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 198 |
| Removal or shaving of skin growth | 169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263 | NM | MD | Acupuncturist |
| E5246 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5246 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Orthopaedic Bone & Joint Specialists PA | Past | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Lovelace Health System LLC | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2725 Capitol Ave
Dept 302
Sacramento, CA 95816
Phone (916) 262-9440
Interoperability endpoints
- lnowakowski335802@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- Orthopaedic Surgery Physician
- Albuquerque, NM
- NPI 1780718155
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
- Home Health Agency
- Sacramento, CA
- NPI 1649209412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1518084003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 CAPITOL AVE",
"address_2": "SUITE 302",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958166004",
"telephone_number": "916-262-9464",
"fax_number": "916-262-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRMIRAN",
"first_name": "ROYA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5246",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NM",
"license": "263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000B5859",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.