DR. MRIDUL K MAZUMDER M.D.
NPI 1407902364
Psychiatry & Neurology - Psychiatry in Tallahassee, FL

Q: 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.

Q: What is Mridul Mazumder's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: 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.

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment

88.19/100

CMS Quality Rating

1616 PHYSICIANS DR, TALLAHASSEE, FL 32308(850) 431-5119(850) 431-2467 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2021, Sep 15, 2016 (2 updates tracked since 2016).

On this page

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

NPI1407902364

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MRIDUL K MAZUMDERCredential: M.D.

Location Address1616 PHYSICIANS DRTallahassee, FL 32308-4619

Mailing Address1115 W Call StTallahassee, FL 32304-3556 · (850) 431-5119 · Fax (850) 431-2467

Phone(850) 431-5119

Fax(850) 431-2467

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2004

Enumeration DateJanuary 25, 2007

Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2021

✔ NPI 1407902364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in FL · ME129519✔ Licensed in SC · 27255

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1616 PHYSICIANS DR, Tallahassee, FL 32308

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Secondary Practice Location 1

Location 14449 Meandering WayTallahassee, FL 32308-5740 · Phone (850) 644-1543 ext. 1 · Fax (855) 230-7402

Other Identifiers 1

Medicaid272555SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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. 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.

PECOS PAC ID2668579525

PECOS Enrollment IDI20161025002941

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 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.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

88.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.07

Promoting Interoperability

100

Improvement Activities

Cost

69.57

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.

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