DR. MIKA MCDOUGALL M.D.
NPI 1477797538
Family Medicine in Santa Rosa, CA

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment
2777 4TH ST, SANTA ROSA, CA 95405(707) 538-8609 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mika Mcdougall M.d. NPPES

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

DR. MIKA MCDOUGALL M.D. (NPI 1477797538) is an individual family medicine provider in Santa Rosa, California, licensed in California (124894) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Ohio State University College Of Medicine (2009).

NPPES Registry Identity

NPI1477797538
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIKA MCDOUGALLCredential: M.D.
Location Address2777 4TH STSanta Rosa, CA 95405-4795
Mailing AddressPo Box 14039Santa Rosa, CA 95402-6039 · (707) 538-8609
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2009
Enumeration DateApril 20, 2009
Last NPPES UpdateFebruary 4, 2022
NPI 1477797538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 124894 Licensed in OR · 160655
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.
2777 4TH ST, Santa Rosa, CA 95405

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

Dr. Mika Mcdougall M.d. 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 ID1254553035
PECOS Enrollment IDI20141111001204
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.

Hospital Affiliations CMS Care Compare

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

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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 Mika Mcdougall's NPI number?

The NPI number for Mika Mcdougall is 1477797538. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Mika Mcdougall located?

Mika Mcdougall practices at 2777 4th St, Santa Rosa, CA 95405. The listed phone number is (707) 538-8609.

What is Mika Mcdougall's specialty?

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

Is Mika Mcdougall enrolled in Medicare?

Yes. Mika Mcdougall 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.

Is Mika Mcdougall affiliated with any hospitals?

According to CMS data, Mika Mcdougall is affiliated with Kaiser Sunnyside Medical Center.

When was this NPI record last updated?

The NPPES record for Mika Mcdougall was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.