DR. STIVEN MITA DMD
NPI 1508432618
Dentist - General Practice in Philadelphia, PA
About Dr. Stiven Mita Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STIVEN MITA DMD (NPI 1508432618) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS043124) and active in the NPI registry since May 2021. He has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Stiven Mita Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2022 through February 10, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stiven Mita's NPI number?
The NPI number for Stiven Mita is 1508432618. It was assigned to this individual provider in the NPPES registry on May 29, 2021.
Where is Stiven Mita located?
Stiven Mita practices at 2137 Welsh Rd # 3, Philadelphia, PA 19115. The listed phone number is (215) 464-5600.
What is Stiven Mita's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Stiven Mita enrolled in Medicare?
No. Stiven Mita has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Stiven Mita accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Stiven Mita 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 Stiven Mita was last updated on May 29, 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. Stiven Mita, DMD · NPI 1508432618
General Practice provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 29, 2021.
## Identity
- **NPI:** 1508432618 (Entity type: Individual)
- **Enumerated:** May 29, 2021
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DS043124 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2137 WELSH RD # 3, Philadelphia, PA 19115-4963
- **Phone:** (215) 464-5600
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 10, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 29, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1508432618) · Data from the CMS NPPES public registry.