1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Pathology
  6. NPI Profile

MITRA DOWLATSHAHI MD
NPI 1053846980
Pathology - Anatomic Pathology & Clinical Pathology in New York, NY

Active since April 28, 2017PECOS Enrolled
100/100
CMS Quality Rating
630 W 168TH ST, VANDERBILT CLINIC 14-215, NEW YORK, NY 10032(212) 305-6719 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2021, Apr 28, 2017 (2 updates tracked since 2017).

About Mitra Dowlatshahi Md NPPES

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

MITRA DOWLATSHAHI MD (NPI 1053846980) is an individual anatomic pathology & clinical pathology provider in New York, New York, licensed in New York (311977) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1053846980
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameMITRA DOWLATSHAHICredential: MD
Location Address630 W 168TH ST, VANDERBILT CLINIC 14-215New York, NY 10032-3725
Mailing Address630 W 168th St, Vanderbilt Clinic 14-215New York, NY 10032-3725 · (212) 305-6719
Phone(212) 305-6719
Sole ProprietorNo
Enumeration DateApril 28, 2017
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1053846980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 311977
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
630 W 168TH ST, New York, NY 10032
Open in Google Maps ↗

Secondary Practice Location 1

Location 1118 Riverway Apt 22Boston, MA 02215-4131 · Phone (617) 803-3468

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitra Dowlatshahi 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 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

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. LAURA YAEL KUREK M.D.
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
New York County (209) 915-2086
COLUMBIADOCTORS AMBULATORY CARE NETWORK
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
New York County (212) 305-1181
DANIEL KADOSH M.D
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-1948
JESSICA S YUE
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500
DR. DOMENICO ACCILI M.D.
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
New York County (212) 851-5332
DR. DAEWON HAAM D.D.S.
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
New York County (212) 342-6909
AMANDA COUTAIN RN
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500
DEVIN MANTINI MD
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500

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 Dowlatshahi's NPI number?

The NPI number for Mitra Dowlatshahi is 1053846980. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Mitra Dowlatshahi located?

Mitra Dowlatshahi practices at 630 W 168th St Vanderbilt Clinic 14-215, New York, NY 10032. The listed phone number is (212) 305-6719.

What is Mitra Dowlatshahi's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mitra Dowlatshahi enrolled in Medicare?

Yes. Mitra Dowlatshahi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitra Dowlatshahi was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.