Individual provider Active NPI

Angelo J Mitsos, DPM

  • Podiatrist
  • New Castle, PA
National Provider Identifier
1962483511
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002342L Issued in PA
Practice address
3124 Wilmington Rd
Suite 106
New Castle, PA 16105-1100
Phone
(724) 656-1680
Fax
(724) 656-1683
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002342L PA Primary

Addresses

Primary practice location

3124 Wilmington Rd
Suite 106
New Castle, PA 16105-1100

Mailing address

3124 Wilmington Rd
Suite 106
New Castle, PA 16105-1100
Phone (724) 656-1680

Other identifiers 3

IdentifierTypeStateIssuer
0008523790004MedicaidPA
0488422OtherOHMEDICAID PIN
PO0329085OtherOHRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000038 PA Practitioner - Podiatry 9931192259 Practice locations: New Castle, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3124 Wilmington Rd
Suite 106
New Castle, PA 16105-1100
Phone (724) 656-1680

Hospital & facility affiliations

  • Upmc Jameson Hospital, New Castle, PA, CCN 390016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions17
Removal of nail tissue2548
Removal or shaving of skin growth201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Care Associates LLC Podiatrist Past Accepting new patients
Family Foot Care Associates LLC Past Accepting new patients
Family Foot Care Associates LLC Past Accepting new patients
Gentle Footcare LLC Past Accepting new patients
Nolls Footcare RP LLC Podiatrist Past Accepting new patients
Gentle Footcare LLC Podiatrist Past Accepting new patients
Delta Foot and Ankle Center, LLC Podiatrist PastSince Jan 5, 2021 Accepting new patients

Organizations & group practices 7

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 3

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1962483511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 WILMINGTON RD",
            "address_2": "SUITE 106",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051100",
            "telephone_number": "724-656-1680",
            "fax_number": "724-656-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 WILMINGTON RD",
            "address_2": "SUITE 106",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051100",
            "telephone_number": "724-656-1680",
            "fax_number": "724-656-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSOS",
        "first_name": "ANGELO",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002342L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008523790004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "0488422",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "PO0329085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.