MELANIE MITTA (M.D) – Student in an Organized Health Care Education/Training Program, NPI 1447612924
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240624001202 | I | Obstetrics/Gynecology | FL | TBD |
| I20250421000940 | I | Obstetrics/Gynecology | IN | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Infectious Disease, Pediatric Medicine | DE | |
| Diagnostic Radiology | DE | |
| Emergency Medicine, Pediatric Medicine | DE | |
| Pediatric Medicine | DE | |
| A N E S T H E S I O L O G Y | PA | |
| Pediatric Medicine | PA | |
| A N E S T H E S I O L O G Y | GA | |
| - | DE | |
| Critical Care (Intensivists) | DE |
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