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

Q: 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.

Q: What is Hiroshi Mitsumoto's specialty?

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

Q: 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.

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: August 09, 2026.

On this page

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

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Other Identifiers 2

Medicare ID-Type Unspecified599051NY

Medicare UPINA77689NY

Medicare Participation & PECOS CMS

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

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.

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

Quality

86.8

Promoting Interoperability

100

Improvement Activities

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.

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.