DR. SUHAIL K MITHANI M.D.
NPI 1629093109
Plastic Surgery in Durham, NC

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Suhail K Mithani M.d. NPPES

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

DR. SUHAIL K MITHANI M.D. (NPI 1629093109) is an individual plastic surgery provider in Durham, North Carolina, licensed in North Carolina (2012-00580) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Vanderbilt University School Of Medicine (2003).

NPPES Registry Identity

NPI1629093109
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. SUHAIL K MITHANICredential: M.D.
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 684-8111
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2003
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 4, 2012
NPI 1629093109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in NC · 2012-00580
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X · License D0063910 (MD)
40 DUKE MEDICINE CIR, Durham, NC 27710

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

Dr. Suhail K Mithani 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 ID7810990983
PECOS Enrollment IDI20121003000511
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
348 services100 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services156 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
84 services43 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
78 services53 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
67 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$76.79 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier11 claims13 services$46.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710

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 Suhail Mithani's NPI number?

The NPI number for Suhail Mithani is 1629093109. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Suhail Mithani located?

Suhail Mithani practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Suhail Mithani's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Suhail Mithani enrolled in Medicare?

Yes. Suhail Mithani 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 Suhail Mithani accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Suhail Mithani 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.

Is Suhail Mithani affiliated with any hospitals?

According to CMS data, Suhail Mithani is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Suhail Mithani was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.