Devashis A Mitra, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD070008L Issued in PA

Practice address

5 Lyn Mar Plaza
Lyndora, PA 16045-1348

Phone

(724) 282-5244

Fax

(724) 282-5246

NPI assigned

Sep 22, 2006

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Rheumatology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Health Care IncGroup PAC ID 0143127951, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: devashis.mitra.1@12125.direct.athenahealth.com

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.

• Central Florida Health Care, Inc.

  dba Central Florida Health Care Frostproof

  • Federally Qualified Health Center (FQHC)
  • Frostproof, FL
  • NPI 1467449660
  Medicare reassignment Care Compare group NPD
• Mitra Arthritis & Osteoporosis Center PC

  • Rheumatology Physician
  • Lyndora, PA
  • NPI 1265524334
  Authorized official Same address or phone
• Central Florida Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1033605613
  NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1811796469
  NPD
• Central Florida Health Care Inc

  dba Central Florida Health Care - Winter Haven Center

  • Federally Qualified Health Center (FQHC)
  • Winter Haven, FL
  • NPI 1467752998
  NPD (past)
• Central Florida Health Care Inc

  dba Central Florida Health Care-Wauchula

  • Multi-Specialty Clinic/Center
  • Wauchula, FL
  • NPI 1811156672
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1407615826
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1831232669
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care - Dundee

  • Federally Qualified Health Center (FQHC)
  • Dundee, FL
  • NPI 1063408813
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care - Avon Park

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1063409290
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care-Lakeland Primary Care

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1386835064
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care - Dundee

  • Multi-Specialty Clinic/Center
  • Dundee, FL
  • NPI 1720247588
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1326148289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LYN MAR PLZ",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451348",
            "telephone_number": "724-282-5244",
            "fax_number": "724-282-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LYN MAR PLAZA",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451348",
            "telephone_number": "724-282-5244",
            "fax_number": "724-282-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 NW 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Mulberry",
            "state": "FL",
            "postal_code": "338602922",
            "country_code": "US",
            "telephone_number": "866-234-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 5th St NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814672",
            "country_code": "US",
            "telephone_number": "866-234-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITRA",
        "first_name": "DEVASHIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD070008L",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME165432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Eyth, LMT
• Jessica Rae Holland, DC
• Kyria Karenbauer, LMT
• Merakey Pennsylvania
• Mitra Arthritis & Osteoporosis Center PC
• Ashley Nicole Morley, PA
• Pawlowicz Dentistry LTD
• Jason Jon Pawlowicz, D.M.D.
• John S Pawlowicz, DDS, FAGD
• Jennifer Rzeplinski

• Rheumatology Physician in Lyndora, PA
• Providers in Lyndora, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.

Verify at the official NPI Registry.