NPIMap

Individual provider Active NPI

Patrick James Mixa, MD

  • Orthopaedic Surgery Physician
  • South Pasadena, FL
National Provider Identifier
1033648647
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME166702 Issued in FL
Practice address
1609 Pasadena Ave S Ste 1a
South Pasadena, FL 33707-4514
Phone
(727) 321-9644
Fax
(727) 321-8580
NPI assigned
Jun 7, 2017
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D94101 MD
Orthopaedic Surgery Physician 207X00000X ME166702 FL Primary

Addresses

Primary practice location

1609 Pasadena Ave S Ste 1a
South Pasadena, FL 33707-4514

Mailing address

1609 Pasadena Ave S Ste 1a
South Pasadena, FL 33707-4514
Phone (727) 321-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917000607 FL Practitioner - Orthopedic Surgery 9830464585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas M Mixa MD PAGroup PAC ID 1153327333, 4 clinicians

Practice addresses (Care Compare)

1609 Pasadena Ave S
Suite 1a
South Pasadena, FL 33707-4514
Phone (727) 321-9644

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement27
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D94101MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M Mixa MD PA Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA PastSince May 23, 2025 Accepting new patients

Locations

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

1609 Pasadena Ave S
Ste 1A
South Pasadena, FL 33707
Phone (727) 321-9644

5959 Central Ave
Ste 101
St Petersburg, FL 33710
Phone (727) 321-9644

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDECAD/Endpoint/HDECAD

Organizations & group practices 2

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1033648647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S STE 1A",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074514",
            "telephone_number": "727-321-9644",
            "fax_number": "727-321-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S STE 1A",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074514",
            "telephone_number": "727-321-9644",
            "fax_number": "727-321-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXA",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D94101",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME166702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.