JOHN ALEXANDER MIHALTSES D.O.
NPI 1831519404
Internal Medicine - Nephrology in Wilmington, NC
About John Alexander Mihaltses D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ALEXANDER MIHALTSES D.O. (NPI 1831519404) is an individual nephrology provider in Wilmington, North Carolina, licensed in New York (297627) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
John Alexander Mihaltses D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Mihaltses reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 John Mihaltses's NPI number?
The NPI number for John Mihaltses is 1831519404. It was assigned to this individual provider in the NPPES registry on April 22, 2014.
Where is John Mihaltses located?
John Mihaltses practices at Eastern Nephrology Associates, PLLC 1302 Medical Center Drive, Wilmington, NC 28401. The listed phone number is (910) 343-9800.
What is John Mihaltses's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is John Mihaltses enrolled in Medicare?
Yes. John Mihaltses 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 John Mihaltses's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mihaltses reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 John Mihaltses's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Mihaltses accept?
Health plans from Cigna Healthcare list John Mihaltses 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 John Mihaltses affiliated with any hospitals?
According to CMS data, John Mihaltses is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for John Mihaltses was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.