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DR. WILLIAM JOSEPH MITRUS DC CCSP
NPI 1750331047
Chiropractor - Sports Physician in Hauppauge, NY

Active since May 10, 2006Accepts Medicare Assignment
745 TERRY RD, HAUPPAUGE, NY 11788(631) 665-6881(631) 961-0410 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. William Joseph Mitrus Dc Ccsp NPPES

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

DR. WILLIAM JOSEPH MITRUS DC CCSP (NPI 1750331047) is an individual sports physician in Hauppauge, New York, licensed in New York (X009709) and active in the NPI registry since May 2006. He is a graduate of New York Chiropractic College (2000).

NPPES Registry Identity

NPI1750331047
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. WILLIAM JOSEPH MITRUSCredential: DC CCSP
Location Address745 TERRY RDHauppauge, NY 11788-3459
Mailing Address745 Terry RdHauppauge, NY 11788-3459 · (631) 665-6881 · Fax (631) 961-0410
Phone(631) 665-6881
Fax(631) 961-0410
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2000
Enumeration DateMay 10, 2006
Last NPPES UpdateJanuary 11, 2010
✔ NPI 1750331047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NY · X009709
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
745 TERRY RD, Hauppauge, NY 11788
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Other Identifiers 2

Medicare UPINU82106NY
Medicare ID-Type UnspecifiedX5F601NY

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

Dr. William Joseph Mitrus Dc Ccsp 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 ID6901866342
PECOS Enrollment IDI20041012000220

Medicare Billing Reassignment

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

William J Mitrus Dc PC
Same address
Chiropractor
745 TERRY RD
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
NPI 1821328006 (631) 665-6881

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

Other Providers at the Same Location NPPES 3

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

XU CHEN
Acupuncturist
745 TERRY RD
HAUPPAUGE, NY 11788
Suffolk County (631) 665-6881
WILLIAM J MITRUS DC PC
Chiropractor
745 TERRY RD
HAUPPAUGE, NY 11788
Suffolk County (631) 665-6881
PRAIYA GALEANO RN, LMT, CLT
Registered Nurse
745 TERRY RD
HAUPPAUGE, NY 11788
Suffolk County (631) 260-4729

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 William Mitrus's NPI number?

The NPI number for William Mitrus is 1750331047. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is William Mitrus located?

William Mitrus practices at 745 Terry Rd, Hauppauge, NY 11788. The listed phone number is (631) 665-6881.

What is William Mitrus's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is William Mitrus enrolled in Medicare?

Yes. William Mitrus 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.

Which organization bills Medicare for William Mitrus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Mitrus reassigns Medicare benefits to William J Mitrus Dc PC (Hauppauge, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Mitrus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Mitrus was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.