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SREEDHAR REDDY MITTA
NPI 1902455504
Pediatrics in Carthage, MO

Active since September 05, 2019PECOS Enrolled
2425 FAIRLAWN DR, CARTHAGE, MO 64836(417) 237-0983 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2022, Sep 5, 2019 (2 updates tracked since 2019).

About Sreedhar Reddy Mitta NPPES

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

SREEDHAR REDDY MITTA (NPI 1902455504) is an individual pediatrics provider in Carthage, Missouri, licensed in Missouri (2022030304) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902455504
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSREEDHAR REDDY MITTA
Location Address2425 FAIRLAWN DRCarthage, MO 64836-3517
Mailing Address2425 Fairlawn DrCarthage, MO 64836-3517 · (417) 237-0983
Phone(417) 237-0983
Sole ProprietorNo
Enumeration DateSeptember 5, 2019
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1902455504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2022030304✔ Licensed in MI · 4351045516
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2425 FAIRLAWN DR, Carthage, MO 64836
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sreedhar Reddy Mitta 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64836 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES

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

DELORES A. VANDERGRIFT FNP
Nurse Practitioner (Family)
2425 FAIRLAWN DR
CARTHAGE, MO 64836
Jasper County (417) 237-0604

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 Sreedhar Reddy Mitta's NPI number?

The NPI number for Sreedhar Reddy Mitta is 1902455504. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Sreedhar Reddy Mitta located?

Sreedhar Reddy Mitta practices at 2425 Fairlawn Dr, Carthage, MO 64836. The listed phone number is (417) 237-0983.

What is Sreedhar Reddy Mitta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sreedhar Reddy Mitta enrolled in Medicare?

Yes. Sreedhar Reddy Mitta is registered in the Medicare PECOS enrollment system.

What insurance does Sreedhar Reddy Mitta accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Sreedhar Reddy Mitta 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.

When was this NPI record last updated?

The NPPES record for Sreedhar Reddy Mitta was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.