SOMA MITRA M.D. NPI 1386679603

NPI Information

  • NPI: 1386679603
  • Provider Name: SOMA MITRA, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 921 RUSSELL AVE
    GAITHERSBURG, MD
    ZIP 20879
  • Phone: (301) 869-6461

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NPI Details

Soma Mitra, M.D. is a pediatrics in Gaithersburg, MD with 24 years of experience. The provider is 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. Soma Mitra, M.D. NPI is 1386679603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

921 RUSSELL AVE
GAITHERSBURG, MD
ZIP 20879-252
Phone: (301) 869-6461
Fax: (301) 869-8960

The NPI 1386679603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Urinalysis, manual test (HCPCS:81002)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineD0070650MARYLANDNo
2208000000XPediatricsD0070650MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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