Pinellas Internal Medicine Specialists, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0073653 Issued in FL

Legal business name

PINELLAS INTERNAL MEDICINE SPECIALISTS, PA

Practice address

5880 49TH St N
Suite N105
St Petersburg, FL 33709-2150

Phone

(727) 527-0797

Fax

(727) 528-7703

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rakesh Mittal, MDNPI 1023046562

Title

President

Phone

(727) 527-0797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RAKESH MITTAL MD Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rakesh Mittal, MD, PHD

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1023046562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1235386772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE N105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-527-0797",
            "fax_number": "727-528-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE N105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-527-0797",
            "fax_number": "727-528-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS INTERNAL MEDICINE SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-527-0797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0073653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253504100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAKESH MITTAL MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pinellas Imaging Consultants, PA
• Pinellas Medical Associates, PA (Align Orthopaedic & Spine)
• Pinellas Medical Specialists
• Pinellas Neurointerventional Consultants, PA
• Pinellas Opportunity Countil, Inc.
• Pinellas Primary Care Inc

• Specialist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.