Robert A Mittra, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

42976 Issued in MN

Practice address

7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800

Phone

(952) 929-1131

Fax

(952) 897-1178

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Ophthalmology

Education

Duke University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitreoretinal Surgery PLLC 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vitreoretinal Surgery PLLC

  • Ophthalmology Physician
  • Edina, MN
  • NPI 1891783965

  MN, Ophthalmology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1699764456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-929-1131",
            "fax_number": "952-897-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-929-1131",
            "fax_number": "952-897-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTRA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "42976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717645700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32448600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Kay Mitley, LICSW
• Benjamin Lars Mitlyng, M.D.
• Tara Mitra, RD
• Taylor Mitsch
• Robert Mittet, M.D.
• Catherine A Mixon, OTR/L
• Jennifer W Mixon
• Miya Home Care LLC
• Satoshi Miyairi, MD
• Ricardo Miyaoka, MD

• All providers in Minneapolis, MN
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.