KSHITIJ P MISTRY MD NPI 1548272107

NPI Information

  • NPI: 1548272107
  • Provider Name: KSHITIJ P MISTRY, MD
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 BLYTHE BLVD
    MEDICAL CENTER PLAZA, SUITE 200
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (704) 381-8840

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NPI Details

Kshitij P Mistry, MD is a pediatric critical care medicine pediatrics in Charlotte, NC with 29 years of experience. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Kshitij P Mistry, MD NPI is 1548272107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

1001 BLYTHE BLVD
MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC
ZIP 28203-866
Phone: (704) 381-8840
Fax: (704) 381-8848

The NPI 1548272107 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 enumeration date for this NPI number is 8/12/2006 and was last updated on 11/29/2016.

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
12080P0203XPediatricsPediatric Critical Care Medicine2004-01098NORTH CAROLINAYes

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
1I16573MEDICARE UPINNORTH CAROLINA
22032287CMEDICARE PINNORTH CAROLINA
3136VHOTHERNORTH CAROLINABCBS
4Q0109CMEDICAIDSOUTH CAROLINA
52032287BMEDICARE PINNORTH CAROLINA
61548272107MEDICAIDNORTH CAROLINA
7NCH401AMEDICARE PINNORTH CAROLINA
879136VHMEDICAIDNORTH 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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