Active NPI
Swaroop Mitta, MD
- Emergency Medicine Physician
- Thomasville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 00022410
- Practice address
- 33700 Hwy 43
Suite B
Thomasville, AL 36784-3555 - Phone
- (334) 636-4431
- Fax
- (334) 636-6129
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00022410 | AL | Primary |
Addresses
Primary practice location
33700 Hwy 43
Suite B
Thomasville, AL 36784-3555
Mailing address
403 Pebble Creek LN
Enterprise, AL 36330-8307
Phone (985) 626-6133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050207000859 | AL | Practitioner - Emergency Medicine | 1355392317 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of Jackson Healthcare AuthorityJ Paul Jones HospitalCommunity Hospital Inc
Practice addresses (Care Compare)
220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-1159
317 McWilliams Ave
Camden, AL 36726-1610
Phone (334) 682-4131
805 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-6541
Hospital & facility affiliations
- Jackson Medical Center
- Community Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00022410 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Inc | Current | Accepting new patients | |
| Community Hospital Inc | Current | Accepting new patients | |
| City of Jackson Healthcare Authority | Current | Accepting new patients | |
| Community Hospital Inc | Current | Accepting new patients | |
| J. Paul Jones Hospital | Current | Accepting new patients | |
| City of Jackson Healthcare Authority | Current | Accepting new patients | |
| Demopolis Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
317 McWilliams Ave
Camden, AL 36726
Phone (334) 682-3911
220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Organizations & group practices 15
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.
-
- Home Health Agency
- Jackson, AL
- NPI 1770593204
-
- Rural Acute Care Hospital
- Tallassee, AL
- NPI 1730120726
-
- Family Medicine Physician
- Tuskegee, AL
- NPI 1922135425
-
- Medicare Defined Swing Bed Hospital Unit
- Jackson, AL
- NPI 1558487397
-
- Family Medicine Physician
- Jackson, AL
- NPI 1366808404
-
- Medicare Defined Swing Bed Hospital Unit
- Tallassee, AL
- NPI 1821472515
-
- Psychiatric Hospital Unit
- Tallassee, AL
- NPI 1912043134
-
- Family Medicine Physician
- Tallassee, AL
- NPI 1982941381
-
- Rural Health Clinic/Center
- Pine Hill, AL
- NPI 1548674013
Hospital & facility affiliations 2
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1356432264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 PEBBLE CREEK LN",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363308307",
"telephone_number": "985-626-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33700 HWY 43",
"address_2": "SUITE B",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843555",
"telephone_number": "334-636-4431",
"fax_number": "334-636-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTA",
"first_name": "SWAROOP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00022410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.