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MONALISA M MITRA DO
NPI 1710097456
Internal Medicine in Grapevine, TX

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
4100 HERITAGE AVE, STE 106, GRAPEVINE, TX 76051(817) 283-1112(817) 283-1116 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2022, Oct 7, 2021 (2 updates tracked since 2021).

About Monalisa M Mitra Do NPPES

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

MONALISA M MITRA DO (NPI 1710097456) is an individual internal medicine provider in Grapevine, Texas, licensed in Texas (M4363) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and maintains a secondary practice location in North Richland Hills.

NPPES Registry Identity

NPI1710097456
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONALISA M MITRACredential: DO
Location Address4100 HERITAGE AVE, STE 106Grapevine, TX 76051-5714
Mailing Address4100 Heritage Ave Ste 106Grapevine, TX 76051-5716 · (817) 283-1112 · Fax (817) 283-1116
Phone(817) 283-1112
Fax(817) 283-1116
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2003
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1710097456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M4363
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4100 HERITAGE AVE, Grapevine, TX 76051
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Secondary Practice Location 1

Location 14300 City Point Dr Ste 200North Richland Hills, TX 76180-8380 · Phone (817) 255-1940

Other Identifiers 2

Medicaid184283302TX
Medicaid184283303TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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

Monalisa M Mitra Do 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 ID42211385
PECOS Enrollment IDI20070129000709
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
208 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services24 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.
24 services24 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.
22 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76051 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%106 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%80 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
19%52 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
38%73 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%25 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 7% · 44 patients
18%44 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

CORVINUS MEDICAL GROUP LLC
Internal Medicine
4100 HERITAGE AVE, SUITE 102
GRAPEVINE, TX 76051
Tarrant County (817) 271-4551
TRICITIES CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
4100 HERITAGE AVE, SUITE 102
GRAPEVINE, TX 76051
Tarrant County (469) 251-0589
DR. ENIKO KIRALY BARTHEL M.D.
Internal Medicine
4100 HERITAGE AVE, SUITE 106
GRAPEVINE, TX 76051
Tarrant County (682) 215-4195
EXCEL PHYSICIANS GROUP PLLC
Internal Medicine
4100 HERITAGE AVE, SUITE 102
GRAPEVINE, TX 76051
Tarrant County (817) 283-1112
ZOEMED HEALTH CARE PLLC
Family Medicine
4100 HERITAGE AVE, SUITE106
GRAPEVINE, TX 76051
Tarrant County (817) 283-1112
ROBERT JOSEPH SANDMANN M ED., ATC, LAT
Specialist/Technologist (Athletic Trainer)
4100 HERITAGE AVE
GRAPEVINE, TX 76051
Tarrant County (817) 540-4477
REVIVIFY BIOLOGICS
Nurse Practitioner
4100 HERITAGE AVE
GRAPEVINE, TX 76051
Tarrant County (817) 886-4319

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 Monalisa Mitra's NPI number?

The NPI number for Monalisa Mitra is 1710097456. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Monalisa Mitra located?

Monalisa Mitra practices at 4100 Heritage Ave Ste 106, Grapevine, TX 76051. The listed phone number is (817) 283-1112.

What is Monalisa Mitra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monalisa Mitra enrolled in Medicare?

Yes. Monalisa Mitra 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 Monalisa Mitra accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Monalisa Mitra 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 Monalisa Mitra affiliated with any hospitals?

According to CMS data, Monalisa Mitra is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Monalisa Mitra was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.