DR. MIRA N DVIVEDI M.D.
NPI 1710327580
Family Medicine in Decatur, IL

Q: What is Mira Dvivedi's NPI number?

The NPI number for Mira Dvivedi is 1710327580. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Q: What is Mira Dvivedi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mira Dvivedi was last updated on December 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment

250 W KENWOOD AVE, DECATUR, IL 62526(217) 872-3800(217) 872-0849 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mira N Dvivedi M.d. NPPES

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

DR. MIRA N DVIVEDI M.D. (NPI 1710327580) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (125-064054) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710327580

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MIRA N DVIVEDICredential: M.D.

Location Address250 W KENWOOD AVEDecatur, IL 62526-4371

Mailing Address250 W Kenwood AveDecatur, IL 62526-4371 · (217) 872-3800 · Fax (217) 872-0849

Phone(217) 872-3800

Fax(217) 872-0849

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 26, 2013

Last NPPES UpdateDecember 3, 2021

✔ NPI 1710327580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125-064054

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.

250 W KENWOOD AVE, Decatur, IL 62526

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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. Mira N Dvivedi 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 ID4082844469

PECOS Enrollment IDI20160923000427

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 62526 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 20

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

SARA D. MURPHY APRN

Nurse Practitioner (Family)