Individual provider Active NPI

Tom Mitros, MD

  • Anesthesiology Physician
  • Boyertown, PA
National Provider Identifier
1154318194
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD025772E Issued in PA
Practice address
23 N Walnut St
Boyertown, PA 19512-1467
Phone
(610) 367-8844
NPI assigned
Oct 4, 2005
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X CI006035 DE
Anesthesiology Physician 207L00000X C1-0006035 DE
Anesthesiology Physician 207L00000X 25MA06549800 NJ
Anesthesiology Physician 207L00000X MD025772E PA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD025772E PA

Addresses

Primary practice location

23 N Walnut St
Boyertown, PA 19512-1467

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040308000460 DE Practitioner - Anesthesiology 2668360116
I20120917000183 PA Practitioner - Anesthesiology 2668360116 Reassigns benefits to 6 organizations
I20180806002681 NY Practitioner - Anesthesiology 2668360116 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295202NYMDLicensed Practical Nurse
CI006035DEMDAnesthesiology Physician
MD025772EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Apollo Medical Group of Lancaster LLC Anesthesiology CurrentSince Oct 15, 2019 Accepting new patients
Albany Medical College CurrentSince Oct 8, 2018 Accepting new patients
Albany Medical College Current Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Feb 15, 2020 Accepting new patients
Lehigh Anesthesia Associates, P.C. Anesthesiology CurrentSince Apr 21, 2023 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Sep 29, 2021 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Mar 9, 2020 Accepting new patients
360 Anesthesia PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Oct 8, 2018 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Mar 9, 2020 Accepting new patients
Advanced Surgery Center of Lancaster, LLC PastSince Mar 1, 2020 Accepting new patients
Leigh H. Hopkins,MD,PC Past Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Mar 7, 2011 Accepting new patients
Pinnacle Mid-Atlantic Pain Medicine, PC Anesthesiology Past Accepting new patients
Ridley Crossings Surgical Center Past Accepting new patients
Haverford Anesthesia Associates-NJ, P.C. Anesthesiology Past Accepting new patients
Premier Anesthesia of Florida LLC Anesthesiology PastSince Jan 19, 2020 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1600 Horizon Dr
Ste 107
Chalfont, PA 18914
Phone (215) 997-3906

1553 Chester Pike
Ste 102
Crum Lynne, PA 19022
Phone (484) 487-0369

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

250 Fame Ave
Ste 130
Hanover, PA 17331
Phone (717) 633-1600

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

160 N Pointe Blvd
Ste 105
Lancaster, PA 17601
Phone (717) 359-3510

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1154318194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3347",
            "fax_number": "516-945-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N WALNUT ST",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121467",
            "telephone_number": "610-367-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROS",
        "first_name": "TOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "CI006035",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C1-0006035",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06549800",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD025772E",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD025772E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

Verify at the official NPI Registry.