SERGE MISTIVAR D.O
NPI 1609080126
Family Medicine in Immokalee, FL
About Serge Mistivar D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERGE MISTIVAR D.O (NPI 1609080126) is an individual family medicine provider in Immokalee, Florida, licensed in Georgia (064865) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Serge Mistivar D.o 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
IMMOKALEE, FL 34142
IMMOKALEE, FL 34142
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 Serge Mistivar's NPI number?
The NPI number for Serge Mistivar is 1609080126. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is Serge Mistivar located?
Serge Mistivar practices at 1454 Madison Ave W, Immokalee, FL 34142. The listed phone number is (239) 658-3064.
What is Serge Mistivar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Serge Mistivar enrolled in Medicare?
Yes. Serge Mistivar 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 Serge Mistivar accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Serge Mistivar 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 Serge Mistivar was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Serge Mistivar, D.O · NPI 1609080126
Family Medicine physician in Immokalee, Florida. Individual provider, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1609080126 (Entity type: Individual)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 064865 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1454 MADISON AVE W, Immokalee, FL 34142-2200
- **Phone:** (239) 658-3064 · **Fax:** (239) 658-3175
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 7, 2015
- **Other identifiers:** Medicare PIN AG277Y (FL); Other OS 9898 (FL); Other 064865 (GA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1609080126) · Data from the CMS NPPES public registry.