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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MITRA ANOOSHEH KHOSRAVI FLANIGAN MD
NPI 1053816918
Thoracic Surgery (Cardiothoracic Vascular Surgery) in St Augustine, FL

Active since March 23, 2018PECOS Enrolled
300 HEALTH PARK BLVD STE 5008, ST AUGUSTINE, FL 32086(904) 819-2015(904) 819-4937 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, Aug 8, 2024, Aug 27, 2020 and 3 more (6 updates tracked since 2018).

About Dr. Mitra Anoosheh Khosravi Flanigan Md NPPES

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

DR. MITRA ANOOSHEH KHOSRAVI FLANIGAN MD (NPI 1053816918) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in St Augustine, Florida, licensed in Florida (ME184485) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053816918
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameDR. MITRA ANOOSHEH KHOSRAVI FLANIGANCredential: MD
Location Address300 HEALTH PARK BLVD STE 5008St Augustine, FL 32086-3705
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 819-2015 · Fax (904) 819-4937
Phone(904) 819-2015
Fax(904) 819-4937
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateOctober 6, 20266 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1053816918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in FL · ME184485✔ Licensed in MN · 65872
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 65872 (MN), 29294 (MN)
300 HEALTH PARK BLVD STE 5008, St Augustine, FL 32086
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Other Names 1

Professional Name (2)Dr. Mitra Anoosheh Khosravi Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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. Mitra Anoosheh Khosravi Flanigan Md 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 32086 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DEREK D MUEHRCKE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 HEALTH PARK BLVD STE 5008
ST AUGUSTINE, FL 32086
St. Johns County (904) 494-2394
ALEXIA YAVALAR
Physician Assistant
300 HEALTH PARK BLVD STE 5008
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-2015
WILLIAM M SHIMP PA-C
Physician Assistant (Surgical)
300 HEALTH PARK BLVD STE 5008
ST AUGUSTINE, FL 32086
St. Johns County (904) 494-2394

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 Mitra Khosravi Flanigan's NPI number?

The NPI number for Mitra Khosravi Flanigan is 1053816918. It was assigned to this individual provider in the NPPES registry on March 23, 2018. The provider is also known as Dr. Mitra Anoosheh Khosravi MD.

Where is Mitra Khosravi Flanigan located?

Mitra Khosravi Flanigan practices at 300 Health Park Blvd Ste 5008, St Augustine, FL 32086. The listed phone number is (904) 819-2015.

What is Mitra Khosravi Flanigan's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mitra Khosravi Flanigan enrolled in Medicare?

Yes. Mitra Khosravi Flanigan is registered in the Medicare PECOS enrollment system.

What insurance does Mitra Khosravi Flanigan accept?

Health plans from Medica list Mitra Khosravi Flanigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitra Khosravi Flanigan was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.