Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAURIE A MITAN M.D.
NPI 1912955311
Pediatrics - Adolescent Medicine in Cincinnati, OH

Active since May 05, 2006PECOS Enrolled
3333 BURNET AVE, ML 4000, CINCINNATI, OH 45229(513) 636-3336(513) 636-8844 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laurie A Mitan M.d. NPPES

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

LAURIE A MITAN M.D. (NPI 1912955311) is an individual adolescent medicine provider in Cincinnati, Ohio, licensed in Ohio (35.076706) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912955311
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameLAURIE A MITANCredential: M.D.
Location Address3333 BURNET AVE, ML 4000Cincinnati, OH 45229-3039
Mailing Address3333 Burnet Ave, Ml 5021Cincinnati, OH 45229-3039 · (513) 636-4225 · Fax (513) 636-2511
Fax(513) 636-8844
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1912955311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in OH · 35.076706
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3333 BURNET AVE, Cincinnati, OH 45229

Accepted 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)

Laurie A Mitan M.d. 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.

Other Providers at the Same Location NPPES 20

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

Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229

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 Laurie Mitan's NPI number?

The NPI number for Laurie Mitan is 1912955311. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Laurie Mitan located?

Laurie Mitan practices at 3333 Burnet Ave Ml 4000, Cincinnati, OH 45229. The listed phone number is (513) 636-3336.

What is Laurie Mitan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Laurie Mitan enrolled in Medicare?

Yes. Laurie Mitan is registered in the Medicare PECOS enrollment system.

What insurance does Laurie Mitan accept?

Health plans from CareSource and MedMutual list Laurie Mitan 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 Laurie Mitan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.