MIRA ELIZABETH DUNHAM MD
NPI 1205457272
Obstetrics & Gynecology in Bryn Mawr, PA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010(484) 337-4715 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, May 27, 2025, Jun 19, 2024 (3 updates tracked since 2024).

About Mira Elizabeth Dunham Md NPPES

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

MIRA ELIZABETH DUNHAM MD (NPI 1205457272) is an individual obstetrics & gynecology provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MD485559) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of West Virginia University School Of Medicine (2020).

NPPES Registry Identity

NPI1205457272
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMIRA ELIZABETH DUNHAMCredential: MD
Location Address130 S BRYN MAWR AVEBryn Mawr, PA 19010-3121
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2020
Enumeration DateMay 1, 2020
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1205457272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD485559
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
130 S BRYN MAWR AVE, Bryn Mawr, PA 19010

Accepted Insurance

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

Mira Elizabeth Dunham 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 ID4981028479
PECOS Enrollment IDI20240801001296
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

3

Medicare enrollment records show Mira Dunham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5 S STATE RD
Upper Darby, PA 19082
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 39 clinicians in this Medicare group
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19010 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

Hospitalist
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Nurse Practitioner (Adult Health)
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Pediatrics
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Podiatrist (Foot & Ankle Surgery)
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Urology
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Nurse Anesthetist, Certified Registered
130 S BRYN MAWR AVE, BRYN MAWR HOSPITAL ANESTHESIA DEPT.
BRYN MAWR, PA 19010
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010

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 Dunham's NPI number?

The NPI number for Mira Dunham is 1205457272. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Mira Dunham located?

Mira Dunham practices at 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010. The listed phone number is (484) 337-4715.

What is Mira Dunham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mira Dunham enrolled in Medicare?

Yes. Mira Dunham 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 Mira Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Dunham reassigns Medicare benefits to 3 organizations: Chespenn Health Services (Upper Darby, PA), Prospect Health Access Network, Inc. (Drexel Hill, PA) and Main Line Healthcare (Newtown Square, PA). 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 Mira Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Dunham accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Mira Dunham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mira Dunham affiliated with any hospitals?

According to CMS data, Mira Dunham is affiliated with Bryn Mawr Hospital.

When was this NPI record last updated?

The NPPES record for Mira Dunham was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.