MIRIAM LOCKE (MD) – Urology Physician, NPI 1225455157

MIRIAM LOCKE (MD) is a healthcare provider. based in Travis afb, California. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. A162641 (CA). The NPI Number for MIRIAM LOCKE (MD) is 1225455157

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM LOCKE (MD)
NPI
1225455157
Phone
(707) 423-7402
Address
101 BODIN CIR
Enumeration Date
28 March 2014
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5305435400
Graduation Year
2014 (12 years ago)
PAC ID
1951645134
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20230317002464
Address ID
CA961507059SO2169XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,307 UROLOGY in CA

Provider Addresses for MIRIAM LOCKE (MD)

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-7402

    Type: Mailing

  • 2169 SOUTH AVE

    SOUTH LAKE TAHOE, CA 961507059

    Phone: (530) 543-5400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,655.

Total Amount is formed as General ($1,655) + Research ($0) + Ownership ($0) = $1,655.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($665).

Total Amount

$1,655

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,655

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230317002464IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes227160$0
51798Ultrasound measurement of bladder capacity after voiding146126$0
81003Automated urinalysis test134115$0
99203New patient office or other outpatient visit, 30-44 minutes122122$0
99214Established patient office or other outpatient visit, 30-39 minutes11695$0
View full utilization report →

Insurance plans in this area (ZIP 94535)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
Critical Care (Intensivists), Emergency Medicine, Emergency MedicineCA
O T O L A R Y N G O L O G YPA
Internal MedicineCA
Clinical Social WorkerMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is MIRIAM LOCKE (MD)'s NPI number?
MIRIAM LOCKE (MD)'s NPI is 1225455157 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MIRIAM LOCKE (MD)?
For scheduling context, MIRIAM LOCKE (MD) is shown as active in the registry.
What clinical focus is listed for MIRIAM LOCKE (MD)?
At a glance, MIRIAM LOCKE (MD) is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MIRIAM LOCKE (MD)?
Travel planning: use Travis Afb, California as the reference point for MIRIAM LOCKE (MD), then confirm.
Can I trust this NPI listing for MIRIAM LOCKE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

101, Bodin Circle, Fairfield, Solano County, California, 94535, United States
NPI: 1275605834

KATHRYN SULLIVAN (MD)

Urology Physician
2001 N JEFFERSON AVE STE 210
NPI: 1487700167
60 MDG SGCXU
NPI: 1285996140

DR. ALEXANDER LO (MD)

General Practice Physician
15301 WARREN SHINGLE RD
NPI: 1659751345

ASHLEY MARIE HENRY (MD)

Urology Physician
101 BODIN CIRCLE
NPI: 1609236868

DR. YURONG MAI (MD)

Urology Physician
101 BODIN CIR
NPI: 1144725110