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DR. MIRA ITANI MD
NPI 1477256048
Family Medicine in Dunwoody, GA

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
2021 PERNOSHAL CT, DUNWOODY, GA 30338(404) 778-6920(404) 778-6901 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Mar 23, 2023 (2 updates tracked since 2023).

About Dr. Mira Itani Md NPPES

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

DR. MIRA ITANI MD (NPI 1477256048) is an individual family medicine provider in Dunwoody, Georgia, licensed in Georgia (15452) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477256048
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIRA ITANICredential: MD
Location Address2021 PERNOSHAL CTDunwoody, GA 30338-6405
Mailing Address2021 Pernoshal CtDunwoody, GA 30338-6405 · (404) 778-6920 · Fax (404) 778-6901
Phone(404) 778-6920
Fax(404) 778-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2023
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1477256048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 15452
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2021 PERNOSHAL CT, Dunwoody, GA 30338
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Mira Itani 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 ID8729448790
PECOS Enrollment IDI20260709001612
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 Mira Itani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Emory Clinic Inc
9.3 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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 30338 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 7

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

EMILY NOMBERG
Student in an Organized Health Care Education/Training Program
2021 PERNOSHAL CT
DUNWOODY, GA 30338
Dekalb County (404) 778-6920
MS. SARAH AZAM DO
Student in an Organized Health Care Education/Training Program
2021 PERNOSHAL CT
DUNWOODY, GA 30338
Dekalb County (404) 778-6920
SYDNEY ROUTCH DPT
Physical Therapist
2021 PERNOSHAL CT, STE 2200
DUNWOODY, GA 30338
Dekalb County (404) 778-6031
CLAUDIA AREFEAYNE MD
Student in an Organized Health Care Education/Training Program
2021 PERNOSHAL CT
DUNWOODY, GA 30338
Dekalb County (404) 778-6920
ZACHARY CHEN MD
Student in an Organized Health Care Education/Training Program
2021 PERNOSHAL CT
ATLANTA, GA 30338
Dekalb County (404) 778-6920
SAMRA RASHID
Student in an Organized Health Care Education/Training Program
2021 PERNOSHAL CT
DUNWOODY, GA 30338
Dekalb County (404) 778-6920
ALIYA OTHMAN MD
Student in an Organized Health Care Education/Training Program
2021 PERNOSHAL CT
DUNWOODY, GA 30338
Dekalb County (404) 778-6920

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 Itani's NPI number?

The NPI number for Mira Itani is 1477256048. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Mira Itani located?

Mira Itani practices at 2021 Pernoshal Ct, Dunwoody, GA 30338. The listed phone number is (404) 778-6920.

What is Mira Itani's specialty?

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

Is Mira Itani enrolled in Medicare?

Yes. Mira Itani 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 organization bills Medicare for Mira Itani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Itani reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). 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 Mira Itani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Itani accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mira Itani 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.

When was this NPI record last updated?

The NPPES record for Mira Itani was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.