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ELMIRA MANOUCHERI M.D.
NPI 1942475710
Obstetrics & Gynecology in Petaluma, CA

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
3900 LAKEVILLE HWY, PETALUMA, CA 94954(707) 765-3900 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2022, Dec 15, 2021, Dec 11, 2015 (3 updates tracked since 2015).

About Elmira Manoucheri M.d. NPPES

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

ELMIRA MANOUCHERI M.D. (NPI 1942475710) is an individual obstetrics & gynecology provider in Petaluma, California, licensed in California (A131558) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2008).

NPPES Registry Identity

NPI1942475710
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameELMIRA MANOUCHERICredential: M.D.
Location Address3900 LAKEVILLE HWYPetaluma, CA 94954-5698
Mailing Address428 The AlamedaSan Anselmo, CA 94960-1201 · (925) 330-9402
Phone(707) 765-3900
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2008
Enumeration DateApril 23, 2008
Last NPPES UpdateOctober 14, 20223 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1942475710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A131558
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3900 LAKEVILLE HWY, Petaluma, CA 94954
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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

Elmira Manoucheri 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 ID3072751981
PECOS Enrollment IDI20150120000439
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 94954 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
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DANIEL G WHITE MD
Family Medicine
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3900
DR. ALEKSEY ZAKINOV
Family Medicine
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3960
TIMOTHY M SOWERBY MD
Internal Medicine (Gastroenterology)
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3900
DAN SCHLAGER MD
Emergency Medicine
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3900
PEGGY LOUISE VANPATTEN M.S.
Audiologist
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3516
DR. LINDSEY HIBBARD M.D.
Pediatrics
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3920
MS. LYDIA E ESTEVEZ P,T.
Physical Therapist
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Sonoma County (707) 765-3628
ROBERT M. CARRIGER M.F.T.
Marriage & Family Therapist
3900 LAKEVILLE HWY, KAISER PERMANENTE
PETALUMA, CA 94954
Sonoma County (707) 765-3586

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 Elmira Manoucheri's NPI number?

The NPI number for Elmira Manoucheri is 1942475710. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Elmira Manoucheri located?

Elmira Manoucheri practices at 3900 Lakeville Hwy, Petaluma, CA 94954. The listed phone number is (707) 765-3900.

What is Elmira Manoucheri's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elmira Manoucheri enrolled in Medicare?

Yes. Elmira Manoucheri 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 Elmira Manoucheri was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.