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PAUL MITTERMILLER MD
NPI 1790123131
Plastic Surgery in Marina Del Rey, CA

Active since June 07, 2013PECOS Enrolled
4640 ADMIRALTY WAY STE 718, MARINA DEL REY, CA 90292(310) 823-4444 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Mittermiller Md NPPES

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

PAUL MITTERMILLER MD (NPI 1790123131) is an individual plastic surgery provider in Marina Del Rey, California, licensed in California (A131915) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790123131
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NamePAUL MITTERMILLERCredential: MD
Location Address4640 ADMIRALTY WAY STE 718Marina Del Rey, CA 90292-6634
Mailing Address4712 Admiralty Way # 581Marina Del Rey, CA 90292-6905 · (858) 255-4223
Phone(310) 823-4444
Sole ProprietorYes
Enumeration DateJune 7, 2013
Last NPPES UpdateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1790123131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A131915
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.
4640 ADMIRALTY WAY STE 718, Marina Del Rey, CA 90292
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Other Identifiers 1

Other390200000XCA · Student Taxonomy

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Mittermiller 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Mittermiller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Farhad Sigari MD Facs PC
Same address
Otolaryngology
4640 ADMIRALTY WAY, 718
Marina Del Rey, CA 90292
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1639459654 (310) 823-4444
MD Solutions Medical Corp
12 mi
Dermatology
15477 VENTURA BLVD., SUITE 100
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1902837735 (818) 906-6900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Paul Mittermiller's NPI number?

The NPI number for Paul Mittermiller is 1790123131. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Paul Mittermiller located?

Paul Mittermiller practices at 4640 Admiralty Way Ste 718, Marina Del Rey, CA 90292. The listed phone number is (310) 823-4444.

What is Paul Mittermiller's specialty?

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

Is Paul Mittermiller enrolled in Medicare?

Yes. Paul Mittermiller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Mittermiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mittermiller reassigns Medicare benefits to 2 organizations: Farhad Sigari MD Facs PC (Marina Del Rey, CA) and MD Solutions Medical Corp (Sherman Oaks, CA). Each 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 Paul Mittermiller'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 Paul Mittermiller was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.