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MIRA ELNAN MD
NPI 1164876157
Internal Medicine in Antioch, CA

Active since April 16, 2016PECOS EnrolledAccepts Medicare Assignment
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5000 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Dec 17, 2021, Oct 9, 2020 and 1 more (4 updates tracked since 2020).

About Mira Elnan Md NPPES

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

MIRA ELNAN MD (NPI 1164876157) is an individual internal medicine provider in Antioch, California, licensed in California (152302) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2016).

NPPES Registry Identity

NPI1164876157
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMIRA ELNANCredential: MD
Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004
Mailing Address6680 Alhambra Ave # 356Martinez, CA 94553-6105
Phone(925) 779-5000
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2016
Enumeration DateApril 16, 2016
Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1164876157 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 · 152302
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.
3400 DELTA FAIR BLVD, Antioch, CA 94509
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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

Mira Elnan 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 ID5698192516
PECOS Enrollment IDI20200824002349
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

MATTHEW ROBERT WHITE PT
Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5442
ROSETTA C. NEWHALL MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
Optometrist (Corneal and Contact Management)
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509
Contra Costa County (925) 779-5223
RAJ V. DASARI MD
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. ATHENA PANZAR PSY.D.
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5090
AL G. SUMAQUIAL MD
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
BERNABE FLORO URBANO JR. MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. PHILIP SONG M.D.
Dermatology
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 817-5600

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 Mira Elnan's NPI number?

The NPI number for Mira Elnan is 1164876157. It was assigned to this individual provider in the NPPES registry on April 16, 2016.

Where is Mira Elnan located?

Mira Elnan practices at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5000.

What is Mira Elnan's specialty?

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

Is Mira Elnan enrolled in Medicare?

Yes. Mira Elnan 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 Mira Elnan was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.