MIRA MACE MEDICAL SERVICES EAST PC
NPI 1578441200
Family Medicine in Dover, DE
About Mira Mace Medical Services East Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRA MACE MEDICAL SERVICES EAST PC (NPI 1578441200) is a healthcare organization registered as a family medicine in Dover, Delaware and active in the NPI registry since August 2025. The organization lists Prashant Kumar, Operations Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mira Mace Medical Services East Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mira Mace Medical Services East PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mace Medical Services East PC's NPI number?
The NPI number for Mira Mace Medical Services East PC is 1578441200. It was assigned to this organization in the NPPES registry on August 21, 2025.
Where is Mira Mace Medical Services East PC located?
Mira Mace Medical Services East PC is located at 1111B S Governors Ave Ste 39475, Dover, DE 19904. The listed phone number is (332) 296-0021.
What is Mira Mace Medical Services East PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mira Mace Medical Services East PC enrolled in Medicare?
Yes. Mira Mace Medical Services East PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mira Mace Medical Services East PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mira Mace Medical Services East PC. A 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 the clinician's services. The largest specialties are Family Practice (3) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mira Mace Medical Services East PC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mira Mace Medical Services East Pc · NPI 1578441200
Family Medicine organization in Dover, Delaware. Organization record, active in the CMS NPPES registry since August 21, 2025.
## Identity
- **NPI:** 1578441200 (Entity type: Organization)
- **Enumerated:** August 21, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Prashant Kumar, OPERATIONS ADMINISTRATOR
## Practice location
- **Address:** 1111B S GOVERNORS AVE STE 39475, Dover, DE 19904-6903
- **Phone:** (332) 296-0021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578441200) · Data from the CMS NPPES public registry.