Active NPI
Darshan Mistry, M.D.
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1811004773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME136120
- Practice address
- 10740 Palm River Rd Ste 360
Tampa, FL 33619 - Phone
- (813) 660-6400
- Fax
- (813) 660-6699
- NPI assigned
- Aug 24, 2006
- Last updated
- Oct 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-062906 | OH | |
| Internal Medicine Physician | 207R00000X | ME136120 | FL | Primary |
Addresses
Primary practice location
10740 Palm River Rd Ste 360
Tampa, FL 33619
Mailing address
PO Box 1289
Tampa, FL 33601-1289
Phone (813) 660-6400
Other practice location 1
7255 Old Oak Blvd # 209
Cleveland, OH 44130-3329
Phone (440) 816-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0944689 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME136120 | FL | MD | Internal Medicine Physician |
| 35-062906 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients |
Interoperability endpoints
- dmistry150062@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1811004773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAMPA",
"state": "FL",
"postal_code": "336011289",
"telephone_number": "813-660-6400",
"fax_number": "813-660-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 PALM RIVER RD STE 360",
"city": "TAMPA",
"state": "FL",
"postal_code": "33619",
"telephone_number": "813-660-6400",
"fax_number": "813-660-6699"
}
],
"practiceLocations": [
{
"address_1": "7255 Old Oak Blvd # 209",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441303329",
"country_code": "US",
"telephone_number": "440-816-2777",
"fax_number": "440-816-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTRY",
"first_name": "DARSHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-062906",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME136120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0944689",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.