NPIMap

Individual provider Active NPI

Vimesh Kiritkumar Mithani, MD

  • Cardiovascular Disease Physician
  • Palm Harbor, FL
National Provider Identifier
1407894132
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME93842 Issued in FL
Practice address
2676 W Lake Rd
Palm Harbor, FL 34684-3120
Phone
(727) 786-1000
Fax
(727) 786-1055
NPI assigned
Jun 3, 2006
Last updated
Nov 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07293100 NJ
Cardiovascular Disease Physician 207RC0000X ME93842 FL Primary

Addresses

Primary practice location

2676 W Lake Rd
Palm Harbor, FL 34684-3120

Mailing address

PO Box 23021
Tampa, FL 33623-2021
Phone (727) 823-2188

Other identifiers 2

IdentifierTypeStateIssuer
P00376661OtherRRW MCR
276578100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080606000022 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032105283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
West Florida Cardiovascular Co-Management Associates, LLCGroup PAC ID 0547538316, 36 clinicians

Practice addresses (Care Compare)

2676 W Lake Rd
Palm Harbor, FL 34684-3120
Phone (727) 786-1000

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07293100NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince May 21, 2017 Accepting new patients
West Florida Cardiovascular Center Inc Cardiovascular Disease CurrentSince Apr 1, 2008 Accepting new patients
Access Health Care LLC Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
Usha Agarwal MD PA Past Accepting new patients

Locations

2626 Tampa Rd
Ste 204
Palm Harbor, FL 34684
Phone (727) 773-2273

2676 W Lake Rd
Palm Harbor, FL 34684
Phone (727) 247-6655

2676 W Lake Rd
Ste 204
Palm Harbor, FL 34684

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIBCA/Endpoint/GFIBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1407894132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23021",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336232021",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 W LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843120",
            "telephone_number": "727-786-1000",
            "fax_number": "727-786-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITHANI",
        "first_name": "VIMESH",
        "middle_name": "KIRITKUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07293100",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME93842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MCR",
            "identifier": "P00376661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276578100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.