THOMAS E MITORAJ MD
NPI 1255381752
Pediatrics in Bristol, TN

Q: What is Thomas Mitoraj's NPI number?

The NPI number for Thomas Mitoraj is 1255381752. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Thomas Mitoraj's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Mitoraj was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 May 12, 2006PECOS EnrolledAccepts Medicare Assignment

109 MEADOW VIEW RD, STE 3, BRISTOL, TN 37620(423) 968-4007(423) 652-2590 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Oct 9, 2024 (2 updates tracked since 2024).

On this page

About Thomas E Mitoraj Md NPPES

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

THOMAS E MITORAJ MD (NPI 1255381752) is an individual pediatrics provider in Bristol, Tennessee, licensed in Tennessee (021345) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1255381752

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTHOMAS E MITORAJCredential: MD

Location Address109 MEADOW VIEW RD, STE 3Bristol, TN 37620-1661

Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 968-4007 · Fax (423) 652-2590

Phone(423) 968-4007

Fax(423) 652-2590

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateMay 12, 2006

Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1255381752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 021345

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.

109 MEADOW VIEW RD, Bristol, TN 37620

Open in Google Maps ↗

Other Identifiers 4

Other123498TN · Blue Cross Tn

Medicaid006746080VA

Other042029VA · Anthem

Medicaid3060577TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas E Mitoraj Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880122951

PECOS Enrollment IDI20250117000089

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 37620 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 10

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

ABIGAIL THOMAS OTR/L

Occupational Therapist