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DR. HIROSHI MITSUMOTO M.D.
NPI 1053480384
Psychiatry & Neurology - Neurology in New York, NY

Active since November 08, 2006PECOS Enrolled
100/100
CMS Quality Rating
710 W 168TH ST, NEW YORK, NY 10032(212) 305-1319(212) 305-2750 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Hiroshi Mitsumoto M.d. NPPES

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

DR. HIROSHI MITSUMOTO M.D. (NPI 1053480384) is an individual neurology provider in New York, New York, licensed in New York (215790) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053480384
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. HIROSHI MITSUMOTOCredential: M.D.
Location Address710 W 168TH STNew York, NY 10032-3726
Mailing Address710 W 168th StNew York, NY 10032-3726 · (212) 305-1319 · Fax (212) 305-2750
Phone(212) 305-1319
Fax(212) 305-2750
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateMay 30, 2012
✔ NPI 1053480384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 215790
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
710 W 168TH ST, New York, NY 10032
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified599051NY
Medicare UPINA77689NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hiroshi Mitsumoto M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Hiroshi Mitsumoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Columbia University In The City Of New York
0.1 mi
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982993184 (New York)
  • 3,922 clinicians in this Medicare group
NPI 1508266347 (646) 317-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers56 claims62 services$911.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAHANNAZ DASTGIR DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (646) 426-3876
DR. JOSE DTM GUTIERREZ MD, MPH
Psychiatry & Neurology (Neurology)
710 W 168TH ST, 6TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-8389
DR. SYLVIE GOLDMAN PHD
Clinical Neuropsychologist
710 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
New York County (646) 239-4535
DR. JAMES MCCALLUM NOBLE M.D.
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6939
RUSLANA SHARGORODSKAYA NP
Nurse Practitioner (Adult Health)
710 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0376
EMMA HANDWERKER
Student in an Organized Health Care Education/Training Program
710 W 168TH ST
NEW YORK, NY 10032
New York County (718) 330-1234
KIMBERLY MANGLA MD
Psychiatry & Neurology (Psychiatry)
710 W 168TH ST, 12TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-9758
CHRISTINE Y. KIM M.D.
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (646) 426-3876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hiroshi Mitsumoto's NPI number?

The NPI number for Hiroshi Mitsumoto is 1053480384. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Hiroshi Mitsumoto located?

Hiroshi Mitsumoto practices at 710 W 168th St, New York, NY 10032. The listed phone number is (212) 305-1319.

What is Hiroshi Mitsumoto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hiroshi Mitsumoto enrolled in Medicare?

Yes. Hiroshi Mitsumoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hiroshi Mitsumoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiroshi Mitsumoto reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hiroshi Mitsumoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hiroshi Mitsumoto was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.