DR. MITALI SEN M.D.
NPI 1386029262
Internal Medicine - Rheumatology in Birmingham, AL

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, May 15, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Dr. Mitali Sen M.d. NPPES

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

DR. MITALI SEN M.D. (NPI 1386029262) is an individual rheumatology provider in Birmingham, Alabama, licensed in Alabama (45962) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386029262
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MITALI SENCredential: M.D.
Location Address619 19TH ST SBirmingham, AL 35249-1900
Mailing AddressP O Box 55310Birmingham, AL 35249-1900 · (205) 934-4011
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 21, 2015
Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1386029262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in AL · 45962 Licensed in PA · MD469852
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT208377 (PA)
619 19TH ST S, Birmingham, AL 35249

Secondary Practice Locations 2

Location 15501 Old York Rd, albert einstien medical centrePhiladelphia, PA 19141 · Phone (215) 456-8520 · Fax (215) 455-1933
Location 22000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 996-7438 · Fax (205) 583-8060

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Dr. Mitali Sen M.d. 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 ID1052660636
PECOS Enrollment IDI20230721001981
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249

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 Mitali Sen's NPI number?

The NPI number for Mitali Sen is 1386029262. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Mitali Sen located?

Mitali Sen practices at 619 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4011.

What is Mitali Sen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mitali Sen enrolled in Medicare?

Yes. Mitali Sen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mitali Sen accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Mitali Sen 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 Mitali Sen was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.