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MARIANNE F MIKHAIL MD
NPI 1164743464
Family Medicine in Lakewood, CA

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
5750 DOWNEY AVE STE 206, LAKEWOOD, CA 90712(562) 384-3034(562) 408-4901 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Oct 23, 2019, Jul 19, 2017 (3 updates tracked since 2017).

About Marianne F Mikhail Md NPPES

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

MARIANNE F MIKHAIL MD (NPI 1164743464) is an individual family medicine provider in Lakewood, California, licensed in California (124526) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164743464
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIANNE F MIKHAILCredential: MD
Location Address5750 DOWNEY AVE STE 206Lakewood, CA 90712-1474
Mailing Address5750 Downey Ave, Ste 206Lakewood, CA 90712-1474 · (562) 384-3034 · Fax (562) 408-4901
Phone(562) 384-3034
Fax(562) 408-4901
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 21, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1164743464 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 · 124526
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.
5750 DOWNEY AVE STE 206, Lakewood, CA 90712
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Secondary Practice Location 1

Location 14950 Barranca Pkwy Ste 308Irvine, CA 92604-4631 · Phone (949) 561-0700 · Fax (949) 561-0750

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marianne F Mikhail Md 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 ID4880819093
PECOS Enrollment IDI20140702000442
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marianne Mikhail reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prohealth Partners A Medical Group Inc
Same address
Family Medicine
5750 DOWNEY AVE, SUITE 206
Lakewood, CA 90712
  • Reassigned Medicare billing, California enrollment
  • 279 clinicians in this Medicare group
NPI 1588030951 (562) 384-3034
Careconnectmd Ca PC
19 mi
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 194 clinicians in this Medicare group
NPI 1366063125 (888) 789-9585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
89 services36 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.
31 services22 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier12 claims1,080 services$15.74 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$4.09 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims720 services$0.04 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims1,080 services$0.11 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims120 services$6.74 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims120 services$3.71 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

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

SHERIF Y LABATIA MD
Family Medicine
5750 DOWNEY AVE STE 206
LAKEWOOD, CA 90712
Los Angeles County (562) 384-3034

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 Marianne Mikhail's NPI number?

The NPI number for Marianne Mikhail is 1164743464. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Marianne Mikhail located?

Marianne Mikhail practices at 5750 Downey Ave Ste 206, Lakewood, CA 90712. The listed phone number is (562) 384-3034.

What is Marianne Mikhail's specialty?

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

Is Marianne Mikhail enrolled in Medicare?

Yes. Marianne Mikhail 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.

Which organizations bill Medicare for Marianne Mikhail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marianne Mikhail reassigns Medicare benefits to 2 organizations: Prohealth Partners A Medical Group Inc (Lakewood, CA) and Careconnectmd Ca PC (Costa Mesa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marianne Mikhail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marianne Mikhail was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.