Active NPI
Nikolay P Mitzov, MD
- Internal Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 97001
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (352) 597-6007
- Fax
- (352) 597-6031
- NPI assigned
- Oct 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01056818A | IN | |
| Internal Medicine Physician | 207R00000X | ME 97001 | FL | Primary |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 597-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632
Hospital & facility affiliations
- HCA Florida Oak Hill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 97001 | FL | MD | Internal Medicine Physician |
| 01056818A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Premier Healthcare LLC | Internal Medicine | Past | Accepting new patients |
| Oak Hill Hospitalist, LLC | Internal Medicine | Past | Accepting new patients |
| Wabash Valley Hospitalists LLC | Internal Medicine | Past | Accepting new patients |
| Ima, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- nikolay.mitzov@hca4.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Internal Medicine Physician
- Brooksville, FL
- NPI 1720152283
-
- Internal Medicine Physician
- Bloomington, IN
- NPI 1710974266
-
- Internal Medicine Physician
- Bloomington, IN
- NPI 1548580764
-
- Internal Medicine Physician
- Terre Haute, IN
- NPI 1164411229
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255320461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-597-6007",
"fax_number": "352-597-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-597-6007",
"fax_number": "352-597-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITZOV",
"first_name": "NIKOLAY",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01056818A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 97001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.