NPI Details
DR. Mira Roganovic, M.D. is an internal medicine in Elk Grove, CA with 47 years of experience. The provider is 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. DR. Mira Roganovic, M.D. NPI is 1033154448. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
8220 WYMARK DRIVE
SUITE 200
ELK GROVE, CA
ZIP 95757-000
Phone: (916) 667-0600
Fax: (916) 683-0232
The NPI 1033154448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Urinalysis, manual test (HCPCS:81002)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Coronavirus vaccine 13 (HCPCS:91312)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Hemoglobin a1c level (HCPCS:83036)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
The enumeration date for this NPI number is 6/19/2006 and was last updated on 10/17/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 001720 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 02353464 | MEDICAID | NEW YORK | |
| 2 | 108AG1 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
