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SHIVANI MITRA MD
NPI 1245224518
Pediatrics in Port St John, FL

Active since September 01, 2005
5005 PORT ST JOHN PKWY, 2500, PORT ST JOHN, FL 32927(321) 690-0164(321) 690-2591 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shivani Mitra Md NPPES

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

SHIVANI MITRA MD (NPI 1245224518) is an individual pediatrics provider in Port St John, Florida, licensed in Florida (ME101697) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1245224518
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHIVANI MITRACredential: MD
Location Address5005 PORT ST JOHN PKWY, 2500Port St John, FL 32927-4305
Mailing AddressPo Box 850001Orlando, FL 32885-0001 · (321) 268-6111 · Fax (321) 268-0125
Phone(321) 690-0164
Fax(321) 690-2591
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateAugust 23, 2010
✔ NPI 1245224518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME101697
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5005 PORT ST JOHN PKWY, Port St John, FL 32927
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Other Identifiers 2

Medicaid000036200FL
Medicare UPINI08043

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 18

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

VICTORIA E SCUDERI PTA
Physical Therapy Assistant
5005 PORT ST JOHN PKWY
COCOA, FL 32927
Brevard County (321) 633-8660
DR. BENJAMIN REED NETTLETON D.O.
Family Medicine
5005 PORT ST JOHN PKWY, SUITE 2500
PORT ST JOHN, FL 32927
Brevard County (321) 504-0556
DR. STEVEN LANCE HOLMES M.D.
General Practice
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 633-8640
KETSIA CELESTIN LOUIS M.D.
Family Medicine
5005 PORT ST JOHN PKWY
COCOA, FL 32927
Brevard County (321) 504-0556
YU-WEN CHANG OTR/L
Occupational Therapist
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 636-9393
KEYSHA BROWN APRN
Registered Nurse (General Practice)
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 633-8620
DR. EUGENE H GO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5005 PORT ST JOHN PKWY, SUITE 2600
PORT ST JOHN, FL 32927
Brevard County (321) 504-7375
FLAVIA LORENA ORTIZ
Nurse Practitioner (Family)
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927
Brevard County (321) 633-8620

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 Shivani Mitra's NPI number?

The NPI number for Shivani Mitra is 1245224518. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Shivani Mitra located?

Shivani Mitra practices at 5005 Port St John Pkwy 2500, Port St John, FL 32927. The listed phone number is (321) 690-0164.

What is Shivani Mitra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shivani Mitra accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Shivani Mitra 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 Shivani Mitra was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.