NPIMap

Individual provider Active NPI

Tricia Marie Mittra, D.O.

  • Family Medicine Physician
  • Ames, IA
National Provider Identifier
1851959258
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05727 Issued in IA
Practice address
1111 Duff Ave
Ames, IA 50010-5745
Phone
(515) 239-4400
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05727 IA Primary

Addresses

Primary practice location

1111 Duff Ave
Ames, IA 50010-5745

Mailing address

1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmittra109772@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419000094 IA Practitioner - Family Practice 2062747538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1018 Duff Ave
Ames, IA 50010-5740
Phone (515) 663-8621

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05727IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Mar 8, 2021 Accepting new patients
Avera Holy Family Current Accepting new patients
McFarland Clinic PC CurrentSince Oct 1, 2022 Accepting new patients
Broadlawns Medical Center CurrentSince Mar 8, 2021 Accepting new patients
Mary Greeley Medical Center Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

1018 Duff Ave
Ames, IA 50010
Phone (515) 232-4421

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

Interoperability endpoints

  • Direct secure messaging: tmittra109772@directmcfarlandclinic.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1851959258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105745",
            "telephone_number": "515-239-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTRA",
        "first_name": "TRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "05727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmittra109772@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1111 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.