Nicholas M. Mittica Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD2004-0317 Issued in NM

Practice address

604 W Spring St
Silver City, NM 88061-4847

Phone

(575) 388-4464

Fax

(575) 388-2014

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

Merit-based Incentive Payment System (MIPS)

Final score

95.15 of 100Reported as individual

Quality

90.29

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: nicholas.mittica.p1@direct.mureporting.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gila Eyecare, Inc.

  • Specialist
  • Silver City, NM
  • NPI 1881644433
  Medicare reassignment NPD Authorized official
• St Paul Eye Clinic PA

  • Eyewear Supplier
  • Woodbury, MN
  • NPI 1669574646
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1023060696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W SPRING ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614847",
            "telephone_number": "575-388-4464",
            "fax_number": "575-388-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W SPRING ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614847",
            "telephone_number": "575-388-4464",
            "fax_number": "575-388-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTICA",
        "first_name": "NICHOLAS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2004-0317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27502562",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel J. Miller
• Millie'S Center L.L.C.
• Mimbres Professional Anesthesia Service
• Mindcare Solutions of New Mexico, P.C.
• Michelle S. Mittica, ABOC
• Moncure Health and Wellness
• Shannon Marie Moncure, APRN, FNP-C
• Freeborn Mondello
• Meya Mongkuo
• Lucy M Montoya, R.N.

• Ophthalmology Physician in Silver City, NM
• Providers in Silver City, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.