DR. SHYAMAL K MITRA MD NPI 1467437079

NPI Information

  • NPI: 1467437079
  • Provider Name: DR. SHYAMAL K MITRA, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3280 HENDERSON DR STE C
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 915-8450

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NPI Details

DR. Shyamal K Mitra, MD is a cardiovascular disease internal medicine in Jacksonville, NC with 47 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Shyamal K Mitra, MD NPI is 1467437079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3280 HENDERSON DR STE C
JACKSONVILLE, NC
ZIP 28546-290
Phone: (910) 915-8450
Fax: (888) 745-7026

The NPI 1467437079 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) (HCPCS:93017)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional (HCPCS:93229)
  • Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS:95811)
  • Sleep study in sleep lab (6 years or older) (HCPCS:95810)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)

The enumeration date for this NPI number is 12/7/2005 and was last updated on 8/2/2023.

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
1207RC0000XInternal MedicineCardiovascular Disease0035439NORTH CAROLINAYes
2207RS0012XInternal MedicineSleep Medicine00-35439NORTH CAROLINANo
3207U00000XNuclear Medicine0035439NORTH CAROLINANo
4207UN0901XNuclear MedicineNuclear Cardiology0035439NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
159825OTHERNORTH CAROLINABCBS OF NC
2060030036OTHERRAILROAD MEDICARE
38959825MEDICAIDNORTH CAROLINA

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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