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DIMITRA MITSIANIS PA
NPI 1477734804
Physician Assistant - Surgical in Bronx, NY

Active since November 14, 2007PECOS Enrolled
234 EUGENIO MARIA DE HOSTOS 149TH ST, DEPARTMENT OF SURGERY, BRONX, NY 10451(718) 579-5000(718) 579-4620 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dimitra Mitsianis Pa NPPES

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

DIMITRA MITSIANIS PA (NPI 1477734804) is an individual surgical provider in Bronx, New York, licensed in New York (009156) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477734804
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDIMITRA MITSIANISCredential: PA
Location Address234 EUGENIO MARIA DE HOSTOS 149TH ST, DEPARTMENT OF SURGERYBronx, NY 10451-5504
Mailing Address234 Eugenio Maria De Hostos 149th St, Department Of SurgeryBronx, NY 10451-5504 · (718) 579-5000 · Fax (718) 579-4620
Phone(718) 579-5000
Fax(718) 579-4620
Sole ProprietorYes
Enumeration DateNovember 14, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1477734804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 009156
234 EUGENIO MARIA DE HOSTOS 149TH ST, Bronx, NY 10451
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dimitra Mitsianis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Dimitra Mitsianis's NPI number?

The NPI number for Dimitra Mitsianis is 1477734804. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Dimitra Mitsianis located?

Dimitra Mitsianis practices at 234 Eugenio Maria De Hostos 149th St Department Of Surgery, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Dimitra Mitsianis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dimitra Mitsianis enrolled in Medicare?

Yes. Dimitra Mitsianis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dimitra Mitsianis was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.