Individual provider Active NPI

Kyran O Mitchell, M.D., PH.D.

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1578719837
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD442101 Issued in PA
Practice address
3601 SW 160TH Ave
Miramar, FL 33027-6308
Phone
(305) 866-7123
Fax
(877) 866-7123
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD442101 PA
Family Medicine Physician 207Q00000X MD442101 PA Primary

Addresses

Primary practice location

3601 SW 160TH Ave
Miramar, FL 33027-6308

Mailing address

3601 SW 160TH Ave
Miramar, FL 33027-6308
Phone (305) 866-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110429000308 PA Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 1850576281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Post Acute Care Physicians of the Northeast PAGroup PAC ID 9335378066, 34 clinicians

Practice addresses (Care Compare)

1 Boyd St
Cornwall, PA 17016-0125
Phone (717) 273-2647

1001 S Valey Forge Rd
Lansdale, PA 19446-6501
Phone (215) 855-4109

1125 Birch Rd
Lebanon, PA 17042-9123
Phone (717) 272-8782

1200 Tel Hai Cir
Honey Brook, PA 19344-1271
Phone (610) 273-9333

1800 Village Cir
Lancaster, PA 17603-2376
Phone (717) 397-4831

2000 Cambridge Ave
Wyomissing, PA 19610-2714
Phone (610) 775-2300

207 W Summit St
Souderton, PA 18964-2054
Phone (215) 723-9881

275 Dock Dr
Lansdale, PA 19446-6232
Phone (215) 368-4438

300 W Lemon St
Lititz, PA 17543-2311
Phone (717) 626-0214

325 Sentry Pkwy Building 5
Suite 200
Blue Bell, PA 19422-2312
Phone (954) 399-4673

451 Sand Hill Rd
Hershey, PA 17033-3411
Phone (717) 533-1880

607 Hearthstone LN
Mount Joy, PA 17552-9687
Phone (717) 450-7562

675 Willow Valley SQ
Lancaster, PA 17602-4876
Phone (717) 464-6161

867 York Rd
Gettysburg, PA 17325-7501
Phone (717) 337-3238

925 Willow Valley Lakes Dr
Willow Street, PA 17584-9049
Phone (717) 490-8100

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2234
Removal of skin lesions1-10
Skin biopsy16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the Northeast PA Family Medicine CurrentSince Apr 21, 2014 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

867 York Rd
Gettysburg, PA 17325
Phone (717) 337-3238

8833 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 509-6826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1578719837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "305-866-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "305-866-7123",
            "fax_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KYRAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD442101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD442101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.