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MITHSUKA PAUL
NPI 1053904755
Social Worker - Clinical in North Miami Beach, FL

Active since February 15, 2021PECOS Enrolled
13899 BISCAYNE BLVD FL 33181, NORTH MIAMI BEACH, FL 33181(305) 244-0971 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mithsuka Paul NPPES

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

MITHSUKA PAUL (NPI 1053904755) is an individual clinical provider in North Miami Beach, Florida and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053904755
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMITHSUKA PAUL
Location Address13899 BISCAYNE BLVD FL 33181North Miami Beach, FL 33181-1600
Mailing Address13899 Biscayne Blvd Fl 33181North Miami Beach, FL 33181-1600 · (305) 244-0971
Phone(305) 244-0971
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1053904755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13899 BISCAYNE BLVD FL 33181, North Miami Beach, FL 33181
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mithsuka Paul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820517659
PECOS Enrollment IDI20260220002013
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 Mithsuka Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
9.2 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Massachusetts enrollment
  • 522 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 33181 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
$0.00 typical visit price
range $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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 Mithsuka Paul's NPI number?

The NPI number for Mithsuka Paul is 1053904755. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Mithsuka Paul located?

Mithsuka Paul practices at 13899 Biscayne Blvd Fl 33181, North Miami Beach, FL 33181. The listed phone number is (305) 244-0971.

What is Mithsuka Paul's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mithsuka Paul enrolled in Medicare?

Yes. Mithsuka Paul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mithsuka Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mithsuka Paul reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Mithsuka Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mithsuka Paul accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Harvard Pilgrim Health Care and 1 other insurer list Mithsuka Paul 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 Mithsuka Paul was last updated on February 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.