Jeff Mistroff, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35607 Issued in OK

Practice address

501 E Colorado St
Victoria, TX 77901-6025

Phone

(361) 579-8300

Fax

(361) 579-8303

NPI assigned

Mar 24, 2017

Last updated

Jun 19, 2020By 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 TX, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accountable Care Hospitalist GroupGroup PAC ID 3678733342, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585

  Family Medicine

  NPD (past)
• Thomas-Spann Clinic, P.a.

  • Clinical Medical Laboratory
  • Corpus Christi, TX
  • NPI 1013994847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1326579053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "SUITE 102W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-582-0861",
            "fax_number": "361-582-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E COLORADO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016025",
            "telephone_number": "361-579-8300",
            "fax_number": "361-579-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTROFF",
        "first_name": "JEFF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "35607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Sheri Miller, APRN
• Sandra Miller
• Mind Body Wellness Solutions
• Gulshan K Minocha, M.D.
• Heather Miori, LSP SPEECH THERAPIST
• Kendall Louise Mitte, M.S., R.D., L.D.
• Jetta Kay Mobley
• Kimberly W Modisette, LPC
• Natalie Hope Moeller, MS., CCC-SLP
• Mohammed Hassan Sabbagh MD PA

• Family Medicine Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.