Individual provider Active NPI

Harrison Mitchell, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1629134622
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193957 Issued in NY
Practice address
2368 Adam Clayton Powell Jr Blvd
New York, NY 10030-2250
Phone
(212) 690-3200
Fax
(212) 690-1298
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193957 NY Primary

Addresses

Primary practice location

2368 Adam Clayton Powell Jr Blvd
New York, NY 10030-2250

Mailing address

2368 Adam Clayton Powell Jr Blvd
New York, NY 10030-2250
Phone (212) 690-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041028000871 NY Practitioner - Internal Medicine 8921060377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

40 W 135TH St
Apt 1D
New York, NY 10037-2530
Phone (212) 690-3200

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amth Medical PC Internal Medicine CurrentSince Jul 17, 2016 Accepting new patients
Harrison F. Mitchell, M.D.,P.C Internal Medicine CurrentSince Jan 8, 2004 Accepting new patients

Locations

369 E 149th St
Fl 4
Bronx, NY 10455
Phone (718) 450-2259

2368 Adam Clayton Powell Jr Blvd
New York, NY 10030
Phone (212) 420-2553

2368 Adam Clayton Powell Jr Blvd
#J
New York, NY 10030
Phone (212) 690-3200

40 W 135th St
Apt 1D
New York, NY 10037
Phone (212) 281-6403

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: harrison.mitchell@hfmmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHHAA/Endpoint/JCHHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHHAA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1629134622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302250",
            "telephone_number": "212-690-3200",
            "fax_number": "212-690-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302250",
            "telephone_number": "212-690-3200",
            "fax_number": "212-690-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.