DR. MRIDUL K MAZUMDER M.D.
NPI 1407902364
Psychiatry & Neurology - Psychiatry in Tallahassee, FL
About Dr. Mridul K Mazumder M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MRIDUL K MAZUMDER M.D. (NPI 1407902364) is an individual psychiatry provider in Tallahassee, Florida, licensed in Florida (ME129519) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tallahassee, and is a graduate of University Of Arkansas College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mridul K Mazumder 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.
Medicare Billing Reassignment
Medicare enrollment records show Mridul Mazumder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tallahassee, FL 32310
- Reassigned Medicare billing, Florida enrollment
- 49 clinicians in this Medicare group
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 32308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
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 Mridul Mazumder's NPI number?
The NPI number for Mridul Mazumder is 1407902364. It was assigned to this individual provider in the NPPES registry on January 25, 2007.
Where is Mridul Mazumder located?
Mridul Mazumder practices at 1616 Physicians Dr, Tallahassee, FL 32308. The listed phone number is (850) 431-5119.
What is Mridul Mazumder's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mridul Mazumder enrolled in Medicare?
Yes. Mridul Mazumder 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.
Which organization bills Medicare for Mridul Mazumder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mridul Mazumder reassigns Medicare benefits to Florida Medical Practice Plan Inc (Tallahassee, 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 Mridul Mazumder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mridul Mazumder accept?
Health plans from Ambetter Health, Ambetter of Alabama, Capital Health Plan, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Mridul Mazumder 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 Mridul Mazumder was last updated on February 26, 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.
# Dr. Mridul K Mazumder, M.D. · NPI 1407902364
Psychiatry physician in Tallahassee, Florida. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1407902364 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** ME129519 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1616 PHYSICIANS DR, Tallahassee, FL 32308-4619
- **Phone:** (850) 431-5119 · **Fax:** (850) 431-2467
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Medical Practice Plan Inc (NPI 1326386293, Tallahassee, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** February 26, 2021
- **Other identifiers:** Medicaid 272555 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1407902364) · Data from the CMS NPPES public registry.