Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mira Roganovic, MD

Individual provider Internal Medicine Physician · NPI 1033154448

Dr. Mira Roganovic, MD is an Internal Medicine in Elk Grove, California. Qualified in 1979, 47 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
47
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8220 Wymark Dr Ste 200
Elk Grove, CA 95757-0000
Phone: (916) 667-0600
Fax: (916) 683-0232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 001720 (NY)

Record details

NPI number1033154448
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESOctober 17, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Elk Grove