Individual provider Active NPI

Purushottam Mitra, M.D.

  • Pulmonary Disease Physician
  • Ocala, FL
National Provider Identifier
1679536528
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME56306 Issued in FL
Practice address
1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone
(352) 732-5552
Fax
(352) 732-1131
NPI assigned
Apr 11, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME56306 FL Primary

Addresses

Primary practice location

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101

Mailing address

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone (352) 732-5552

Other identifiers 1

IdentifierTypeStateIssuer
039454800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060224000108 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9931175999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calhoun and Donnelly PAGroup PAC ID 8123936507, 23 clinicians
Ocala Lung and Critical Care Assocates IncGroup PAC ID 4587651492, 19 clinicians

Practice addresses (Care Compare)

1015 SE 17TH St
300 Mid Florida Physical Therapy
Ocala, FL 34471-3943
Phone (352) 629-4509

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone (352) 732-5552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Lung & Critical Care Assocates Inc Pulmonary Disease CurrentSince Nov 28, 1998 Accepting new patients
Appleton Intensivist Group, LLC CurrentSince Dec 28, 2020 Accepting new patients

Locations

1834 SW 1st Ave
Ocala, FL 34471
Phone (352) 450-3222

1500 SW 1st Ave
Fl 5
Ocala, FL 34471
Phone (352) 369-0513

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: purushottam.mitra@hca5.eclinicaldirectplus.com
  • Direct secure messaging: pmitra562682@direct.shands.ufl.edu
  • Direct secure messaging: olcc.purushottammitra@154056.advancedmd-direct.com

Organizations & group practices 3

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 3

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1679536528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718101",
            "telephone_number": "352-732-5552",
            "fax_number": "352-732-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718101",
            "telephone_number": "352-732-5552",
            "fax_number": "352-732-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRA",
        "first_name": "PURUSHOTTAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME56306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039454800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.