NPIMap

Individual provider Active NPI

Dyatra Mitchell, MD

  • Internal Medicine Physician
  • Mason, OH
National Provider Identifier
1285694380
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74652 Issued in OH
Practice address
770 Reading Road
Suite a
Mason, OH 45040-1330
Phone
(513) 573-1444
Fax
(513) 573-1538
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74652 OH Primary

Addresses

Primary practice location

770 Reading Road
Suite a
Mason, OH 45040-1330

Mailing address

770 Reading Road
Suite a
Mason, OH 45040-1330
Phone (513) 573-1444

Other identifiers 1

IdentifierTypeStateIssuer
2061165MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111028000626 OH Practitioner - Internal Medicine 9032143946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2446 Kipling Ave
Cincinnati, OH 45239-6650
Phone (513) 583-8500

5075 Pkwy Dr
Mason, OH 45040-9555

5232 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 339-0800

5236 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 721-1111

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74652OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care Offices Medical Group Inc Current Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Nov 1, 2011 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Mitchell Internal Medicine, Inc. Internal Medicine PastSince Jan 2, 2002 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

5075 Parkway Dr
Ste 101
Mason, OH 45040
Phone (513) 584-6898

770 Reading Rd
Ste A
Mason, OH 45040
Phone (513) 573-1444

935 State Route 28
Milford, OH 45150
Phone (513) 831-5955

Interoperability endpoints

  • Direct secure messaging: dmitchell11804@direct.bsmhealth.org

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.

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1285694380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 READING ROAD",
            "address_2": "SUITE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401330",
            "telephone_number": "513-573-1444",
            "fax_number": "513-573-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 READING ROAD",
            "address_2": "SUITE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401330",
            "telephone_number": "513-573-1444",
            "fax_number": "513-573-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DYATRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "74652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.