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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: November 01, 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
Phone(925) 756-3400
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
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Other Identifiers 1

OtherA108068CA · State License

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Adham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
22 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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

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 19

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

DR. WEN-YIN CHOI DPM
Podiatrist (Foot Surgery)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (510) 610-3618
GRACE LIU
Internal Medicine (Cardiovascular Disease)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (925) 776-7725
KYLA AI-LAN YEE M.D.
Obstetrics & Gynecology
4053 LONE TREE WAY, #101
ANTIOCH, CA 94531
Contra Costa County (925) 756-3400
JESSICA SUN TSAI M.D.
Pediatrics
4053 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (925) 756-3400
ELINA MAHARJAN FNP-BC
Nurse Practitioner (Family)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (925) 756-3499
ROBERT N EBERHART DO
Family Medicine
4053 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (510) 247-6436
RONALD ALCAYDE
Registered Nurse (Diabetes Educator)
4053 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (510) 204-1844
ASHUL GOVIL M.D.
Internal Medicine (Cardiovascular Disease)
4053 LONE TREE WAY, SUITE 200
ANTIOCH, CA 94531
Contra Costa County (925) 776-7725

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.

Which organization bills Medicare for Susan Adham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Adham reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The 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 Susan Adham'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 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 9 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.