NPIMap

Individual provider Active NPI

Mithun Sreekantan, M.D

  • Hospitalist Physician
  • Miami, FL
National Provider Identifier
1629245733
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME134768 Issued in FL
Practice address
1611 NW 12TH Ave # 600a
Miami, FL 33136
Phone
(305) 585-6856
Fax
(305) 355-2244
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25325 NE
Hospitalist Physician 208M00000X 25325 NE
Hospitalist Physician 208M00000X ME134768 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave # 600a
Miami, FL 33136

Mailing address

PO Box 12493
Miami, FL 33101-2493
Phone (305) 585-5315

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
I20180718002009 FL Practitioner - Internal Medicine 1951449388 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC Internal Medicine CurrentSince Jul 12, 2025 Accepting new patients
QMC LLC Hospitalist CurrentSince Aug 12, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Feb 25, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 22, 2018 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Public Health Trust of Miami Dade County Florida Internal Medicine CurrentSince Aug 22, 2018 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Feb 25, 2023 Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1611 NW 12th Ave
#600B
Miami, FL 33136
Phone (305) 355-1245

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

1611 NW 12th Ave
#600A
Miami, FL 33136
Phone (305) 585-6856

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1629245733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12493",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331012493",
            "telephone_number": "305-585-5315",
            "fax_number": "305-355-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE # 600A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-6856",
            "fax_number": "305-355-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEKANTAN",
        "first_name": "MITHUN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "25325",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "25325",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME134768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.