STEPHANIE MITA
NPI 1669836763
Podiatrist - Foot & Ankle Surgery in Vallejo, CA

Q: What is Stephanie Mita's NPI number?

The NPI number for Stephanie Mita is 1669836763. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Stephanie Mita's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Mita was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment

80.58/100

CMS Quality Rating

975 SERENO DR, VALLEJO, CA 94589(707) 651-1000 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Stephanie Mita NPPES

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

STEPHANIE MITA (NPI 1669836763) is an individual foot & ankle surgery provider in Vallejo, California, licensed in California (E5567) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1669836763

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameSTEPHANIE MITA

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address975 Sereno DrVallejo, CA 94589-2441

Phone(707) 651-1000

Sole ProprietorNo

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2016

Enumeration DateApril 5, 2016

Last NPPES UpdateJuly 22, 2019

✔ NPI 1669836763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · E5567

975 SERENO DR, Vallejo, CA 94589

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Mita 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 ID244565893

PECOS Enrollment IDI20190718001525

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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Mita reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara

48 mi

Clinic/Center

2741 MIDDLEFIELD RD
Palo Alto, CA 94306

Reassigned Medicare billing, California enrollment
Also billed through NPI 1043354020 (California), NPI 1629301346 (California)
2,460 clinicians in this Medicare group

NPI 1285228080 (408) 885-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

91 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

81 services62 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

39 services24 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

33 services21 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

32 services27 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

27 services18 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.43

Promoting Interoperability

100

Improvement Activities

Cost

46.5

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.

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