DYLAN JOHN MITTAUER
NPI 1053163303
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Dylan Mittauer's NPI number?

The NPI number for Dylan Mittauer is 1053163303. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Dylan Mittauer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Mittauer was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2024PECOS Enrolled

660 S EUCLID AVE, SAINT LOUIS, MO 63110(314) 362-5000 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dylan John Mittauer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN JOHN MITTAUER (NPI 1053163303) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053163303

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDYLAN JOHN MITTAUER

Location Address660 S EUCLID AVESaint Louis, MO 63110-1010

Mailing Address660 S Euclid AveSaint Louis, MO 63110-1010 · (314) 362-5000

Phone(314) 362-5000

Sole ProprietorNo

Enumeration DateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1053163303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

660 S EUCLID AVE, Saint Louis, MO 63110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan John Mittauer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.