VIJAY MIRMIRA M.D
NPI 1851577241
Family Medicine in Lodi, CA

Active since January 15, 2008PECOS EnrolledAccepts Medicare Assignment
1901 W KETTLEMAN LN, SUITE 200, LODI, CA 95242(209) 334-8540(209) 368-2885 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vijay Mirmira M.d NPPES

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

VIJAY MIRMIRA M.D (NPI 1851577241) is an individual family medicine provider in Lodi, California, licensed in California (A106428) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1851577241
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVIJAY MIRMIRACredential: M.D
Location Address1901 W KETTLEMAN LN, SUITE 200Lodi, CA 95242-4337
Mailing AddressPo Box 241011Lodi, CA 95241-9511 · (209) 339-7825 · Fax (209) 339-7528
Fax(209) 368-2885
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 15, 2008
Last NPPES UpdateFebruary 26, 2013
NPI 1851577241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A106428
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.
1901 W KETTLEMAN LN, Lodi, CA 95242

Other Identifiers 2

Medicare PINR01409IL
Medicare UPIN216239IL

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

Vijay Mirmira 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 ID7113098799
PECOS Enrollment IDI20090708000245
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.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
852 services381 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
242 services173 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
182 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services75 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
71 services70 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
66 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers36 claims70 services$5.74 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.26 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers15 claims20 services$188.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Health Educator
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
General Practice
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Family Medicine
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Family Medicine
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Hospitalist
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Nurse Practitioner (Family)
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
General Practice
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242
Family Medicine
1901 W KETTLEMAN LN, SUITE 200
LODI, CA 95242

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 Vijay Mirmira's NPI number?

The NPI number for Vijay Mirmira is 1851577241. It was assigned to this individual provider in the NPPES registry on January 15, 2008.

Where is Vijay Mirmira located?

Vijay Mirmira practices at 1901 W Kettleman Ln Suite 200, Lodi, CA 95242. The listed phone number is (209) 334-8540.

What is Vijay Mirmira's specialty?

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

Is Vijay Mirmira enrolled in Medicare?

Yes. Vijay Mirmira 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.

When was this NPI record last updated?

The NPPES record for Vijay Mirmira was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.