Active NPI
Mira Saad Mitry, M.D.
- Hospitalist Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4301106835
- Practice address
- 4201 Saint Antoine St
Suite 5C
Detroit, MI 48201-2153 - Phone
- (313) 745-7999
- Fax
- (313) 966-6400
- NPI assigned
- Jun 12, 2012
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301106835 | MI | |
| Internal Medicine Physician | 207R00000X | 333329 | LA | |
| Hospitalist Physician | 208M00000X | 333329 | LA | |
| Hospitalist Physician | 208M00000X | 4301106835 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Suite 5C
Detroit, MI 48201-2153
Mailing address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 746-7952
Other practice location 1
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-4108
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333329 | LA | MD | Hospitalist Physician |
| 4301106835 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Belle Chasse Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Iha Health Services Corporation | Hospitalist | Current | Accepting new patients |
| Michigan Emergency Services | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Saginaw Cooperative Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Iha Health Service Corporation | Current | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330
4201 Saint Antoine St
Ste 5C
Detroit, MI 48201
Phone (313) 577-5030
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- mmitry@direct.dmc.org
- mmitry1576439@direct.trinity-health.org
Organizations & group practices 12
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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Medical Toxicology (Emergency Medicine) Physician
- Detroit, MI
- NPI 1316968191
-
dba Cmu Medical Education Partners
- Internal Medicine Physician
- Saginaw, MI
- NPI 1346344991
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Hospitalist
- Hospitalist Physician
- Ypsilanti, MI
- NPI 1306121405
-
dba Wayne State University Physician Group
- Speech-Language Pathologist
- Detroit, MI
- NPI 1336417146
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Internal Medicine
-
dba Ochsner Clinic LLC (BR)
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1407848443
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1730441031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HOUGHTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025303",
"telephone_number": "989-746-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "SUITE 5C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-7999",
"fax_number": "313-966-6400"
}
],
"practiceLocations": [
{
"address_1": "1514 Jefferson Hwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701212429",
"country_code": "US",
"telephone_number": "504-842-7511",
"fax_number": "504-842-2644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITRY",
"first_name": "MIRA",
"middle_name": "SAAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301106835",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "333329",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "333329",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301106835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.