Active NPI
Tom Mitros, MD
- Anesthesiology Physician
- Boyertown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD025772E
- Practice address
- 23 N Walnut St
Boyertown, PA 19512-1467 - Phone
- (610) 367-8844
- NPI assigned
- Oct 4, 2005
- Last updated
- Dec 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295202 | NY | MD | Licensed Practical Nurse |
| CI006035 | DE | MD | Anesthesiology Physician |
| MD025772E | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of New York, P.C. | Anesthesiology | Current | Accepting new patients |
| Apollo Medical Group of Lancaster LLC | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Lehigh Anesthesia Associates, P.C. | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia, Pennsylvania , LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Pennsylvania, LLC | Anesthesiology | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| 360 Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Anesthesiology | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Current | Accepting new patients | |
| Advanced Surgery Center of Lancaster, LLC | Past | Accepting new patients | |
| Leigh H. Hopkins,MD,PC | Past | Accepting new patients | |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Anesthesiology | Past | 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 | Past | 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.
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1285283549
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1508842246
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
PA
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
-
dba UPMC Pinnacle Anesthesia Services CRNA
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
- NPI 1942867064
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Anesthesiology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.