DR. ROXANNA POURMIRZAIE
NPI 1881187151
Internal Medicine in Santa Rosa, CA

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403(707) 576-4000 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Jan 7, 2019, Jun 12, 2018 (3 updates tracked since 2018).

About Dr. Roxanna Pourmirzaie NPPES

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

DR. ROXANNA POURMIRZAIE (NPI 1881187151) is an individual internal medicine provider in Santa Rosa, California, licensed in California (A186145) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881187151
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROXANNA POURMIRZAIE
Location Address30 MARK WEST SPRINGS RDSanta Rosa, CA 95403-1436
Mailing Address601 Van Ness Ave Ste E3619San Francisco, CA 94102-3200 · (415) 531-9047
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateApril 18, 20253 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1881187151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A186145
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A186145 (CA)
30 MARK WEST SPRINGS RD, Santa Rosa, CA 95403

Accepted Insurance

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. Roxanna Pourmirzaie 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 ID5193114171
PECOS Enrollment IDI20231030003333
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
325 services181 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
138 services137 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

Internal Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Internal Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Colon & Rectal Surgery
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Registered Nurse (Critical Care Medicine)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Family Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Radiology (Diagnostic Radiology)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Hospitalist
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Social Worker (Clinical)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403

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 Roxanna Pourmirzaie's NPI number?

The NPI number for Roxanna Pourmirzaie is 1881187151. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Roxanna Pourmirzaie located?

Roxanna Pourmirzaie practices at 30 Mark West Springs Rd, Santa Rosa, CA 95403. The listed phone number is (707) 576-4000.

What is Roxanna Pourmirzaie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roxanna Pourmirzaie enrolled in Medicare?

Yes. Roxanna Pourmirzaie 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.

What insurance does Roxanna Pourmirzaie accept?

Health plans from Sanford Health Plan list Roxanna Pourmirzaie 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 Roxanna Pourmirzaie was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.