MELANIE MITTA (M.D) – Student in an Organized Health Care Education/Training Program, NPI 1447612924

MELANIE MITTA (M.D) is a healthcare provider. based in Jacksonville, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. ME161247 (FL). The NPI Number for MELANIE MITTA (M.D) is 1447612924

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE MITTA (M.D)
NPI
1447612924
Phone
(352) 304-3911
Address
653-1 W 8TH ST # L17
Enumeration Date
24 March 2016
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4075674000
Graduation Year
2016 (10 years ago)
PAC ID
7719270842
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20240624001202
Address ID
FL328277884OR6535XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for MELANIE MITTA (M.D)

  • West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone: (352) 304-3911

    Type: Mailing

  • 1324 Lakeland Hills Blvd

    Lakeland, FL 338054543

    Phone: (863) 687-1100

    Type: Location

  • 653-1 W 8th St # L17

    Jacksonville, FL 322096511

    Phone: (904) 383-1037

    Type: Location

  • 8081 Township Line Rd Ste 203

    Indianapolis, IN 462602189

    Phone: (317) 415-8100

    Type: Location

  • 6535 NEMOURS PKWY

    ORLANDO, FL 328277884

    Phone: (407) 567-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240624001202IObstetrics/GynecologyFLTBD
I20250421000940IObstetrics/GynecologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537072483View full group profile
NameSpecialtyState
-AR
Infectious Disease, Pediatric MedicineDE
Diagnostic RadiologyDE
Emergency Medicine, Pediatric MedicineDE
Pediatric MedicineDE
A N E S T H E S I O L O G YPA
Pediatric MedicinePA
A N E S T H E S I O L O G YGA
-DE
Critical Care (Intensivists)DE

Reviews

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Frequently asked questions

What NPI should I save for MELANIE MITTA (M.D)?
Save NPI 1447612924 if you need a stable reference for MELANIE MITTA (M.D).
Is MELANIE MITTA (M.D) active in the national directory?
MELANIE MITTA (M.D)'s public NPI profile is in an active state.
Can you summarize MELANIE MITTA (M.D)'s specialty in plain language?
Clinically, the directory lists MELANIE MITTA (M.D) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where does public data place MELANIE MITTA (M.D)?
The snapshot lists Jacksonville, Florida for MELANIE MITTA (M.D); download NPPES for the complete set.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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