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SAMIR MITRI MD
NPI 1619771284
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 02, 2025PECOS Enrolled
330 BROOKLINE AVE # ES-215, BOSTON, MA 02215(617) 667-3210(617) 667-2092 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samir Mitri Md NPPES

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

SAMIR MITRI MD (NPI 1619771284) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619771284
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMIR MITRICredential: MD
Location Address330 BROOKLINE AVE # ES-215Boston, MA 02215-5491
Mailing Address40 Ellingwood StBoston, MA 02120-3365 · (857) 309-8583 · Fax (857) 309-8583
Phone(617) 667-3210
Fax(617) 667-2092
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1619771284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 BROOKLINE AVE # ES-215, Boston, MA 02215
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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)

Samir Mitri Md 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDGAR LEONARDO MARTINEZ SALAZAR MD
Radiology (Diagnostic Radiology)
330 BROOKLINE AVE # ES-215
BOSTON, MA 02215
Suffolk County (617) 667-3210
ELIZABETH WITTE MD
Radiology (Diagnostic Radiology)
330 BROOKLINE AVE # ES-215
BOSTON, MA 02215
Suffolk County (617) 667-3210
HAMDAN AHMED PASHA
Otolaryngology
330 BROOKLINE AVE # ES-215
BOSTON, MA 02215
Suffolk County (617) 667-3210
JORGE LUIS GOMEZ MAYORGA MD
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE # ES-215
BOSTON, MA 02215
Suffolk County (617) 667-3210
JOEY KUN HSU
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE # ES-215
BOSTON, MA 02215
Suffolk County (757) 329-9484
MICHELLE R. SHABO
Urology
330 BROOKLINE AVE # ES-215
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Samir Mitri's NPI number?

The NPI number for Samir Mitri is 1619771284. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Samir Mitri located?

Samir Mitri practices at 330 Brookline Ave # Es-215, Boston, MA 02215. The listed phone number is (617) 667-3210.

What is Samir Mitri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samir Mitri enrolled in Medicare?

Yes. Samir Mitri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samir Mitri was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.