Sudeshna Mitra, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84595 Issued in FL

Practice address

397 N Wickham Rd
101
Melbourne, FL 32935-8669

Phone

(321) 622-6222

Fax

(321) 622-6660

NPI assigned

Apr 12, 2006

Sex

Female

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 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

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
• Firstat Nursing Services Home health agency, Winter Park, FL, CCN 108039
• Health First Home Care Home health agency, Melbourne, FL, CCN 107233
• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
• Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
• Viera Hospital Hospital, Melbourne, FL, CCN 100315
• Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
• Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smitra71700@epicdirect.hf.org
• Direct secure messaging: sudeshnamitra@mab.medentdirect.com

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.

• Medical Associates of Brevard LLC

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1861400103
  Medicare reassignment Care Compare group NPD
• Osler Medical Inc

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1356308670
  NPD (past)

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

• Ajl Nursing Services, LLC

  • Home Health Agency
  • Melbourne, FL
  • NPI 1184183022
  Care Compare affiliation
• Allen Healthcare Inc.

  • Home Health Agency
  • Winter Park, FL
  • NPI 1407996267
  Care Compare affiliation
• Cape Canaveral Hospital, Inc.

  • General Acute Care Hospital
  • Cocoa Beach, FL
  • NPI 1184691610
  Care Compare affiliation
• Cape Canaveral Hospital, Inc.

  • Home Health Agency
  • Melbourne, FL
  • NPI 1922006956
  Care Compare affiliation
• Holmes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Palm Bay, FL
  • NPI 1386940823
  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation
• Ohmh, LLC

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1033937883
  Care Compare affiliation
• Viera Hospital Inc

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1730494816
  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1831153469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 N WICKHAM RD",
            "address_2": "101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358669",
            "telephone_number": "321-622-6222",
            "fax_number": "321-622-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 N WICKHAM RD",
            "address_2": "101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358669",
            "telephone_number": "321-622-6222",
            "fax_number": "321-622-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRA",
        "first_name": "SUDESHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264558100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00907833",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Devine Misrahi, M.S.
• Cadence Marie Mister
• Mitchell Kaplan DC PA
• Mitchell R Greenberg, DC, Inc
• Chakiah Tucker Mitchell
• Priscilla Lynn Mixon
• MK ABA, LLC
• MKMD Physiatry Consultants LLC
• Mobile Physicians Group Inc
• Mobile Ultrasound Imaging, LLC

• Internal Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.