SUSAN LYLA ADHAM M.D
NPI 1215256599
Pediatrics in Antioch, CA

Active since May 25, 2010PECOS Enrolled
4053 LONE TREE WAY, SUITE 101, ANTIOCH, CA 94531(925) 756-3400(925) 757-6387 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Lyla Adham M.d NPPES

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

SUSAN LYLA ADHAM M.D (NPI 1215256599) is an individual pediatrics provider in Antioch, California, licensed in California (A108068) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215256599
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN LYLA ADHAMCredential: M.D
Location Address4053 LONE TREE WAY, SUITE 101Antioch, CA 94531-6210
Mailing Address4053 Lone Tree Way Ste 101Antioch, CA 94531-6210 · (925) 756-3400 · Fax (925) 757-6387
Fax(925) 757-6387
Sole ProprietorNo
Enumeration DateMay 25, 2010
Last NPPES UpdateOctober 27, 2017
NPI 1215256599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A108068
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4053 LONE TREE WAY, Antioch, CA 94531

Other Identifiers 1

OtherA108068CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Lyla Adham M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94531 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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 18

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

Podiatrist (Foot Surgery)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Internal Medicine (Cardiovascular Disease)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Obstetrics & Gynecology
4053 LONE TREE WAY, #101
ANTIOCH, CA 94531
Pediatrics
4053 LONE TREE WAY
ANTIOCH, CA 94531
Nurse Practitioner (Family)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Family Medicine
4053 LONE TREE WAY
ANTIOCH, CA 94531
Internal Medicine (Cardiovascular Disease)
4053 LONE TREE WAY, SUITE 200
ANTIOCH, CA 94531
Nurse Practitioner
4053 LONE TREE WAY, SUITE 101
ANTIOCH, CA 94531

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 Susan Adham's NPI number?

The NPI number for Susan Adham is 1215256599. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Susan Adham located?

Susan Adham practices at 4053 Lone Tree Way Suite 101, Antioch, CA 94531. The listed phone number is (925) 756-3400.

What is Susan Adham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Adham enrolled in Medicare?

Yes. Susan Adham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Adham was last updated on October 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.