SAMUEL R MITZ (MD) – Internal Medicine Physician, NPI 1619948213

SAMUEL R MITZ (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. L5468 (TX). The NPI Number for SAMUEL R MITZ (MD) is 1619948213

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL R MITZ (MD)
NPI
1619948213
Phone
(651) 326-3700
Address
45 10th St W
Enumeration Date
31 January 2006
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9034344826
Graduation Year
2001 (25 years ago)
PAC ID
2466436159
Group Practice PAC ID
0143203257
Professional Enrollment ID
I20040618000252
Address ID
TX754552338MO2001XAVEX443
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for SAMUEL R MITZ (MD)

  • 45 10th St W

    Saint Paul, MN 551021062

    Phone: (651) 326-3700

    Type: Location

  • 1 Burdick Expy W

    Minot, ND 587014406

    Phone: (701) 857-5000

    Type: Location

  • 2305 37th Ave SW

    Minot, ND 587017669

    Phone: (701) 857-5000

    Type: Location

  • 92, Springs Road, Moutoa, Shannon, Horowhenua District, Manawatu-Whanganui, 4821, New Zealand

    SHANNON, AL 351420092

    Phone:

    Type: Mailing

  • 1664, Sylvan Avenue, Dallas, Dallas County, Texas, 75260, United States

    DALLAS, TX 752082543

    Phone: (214) 535-7079

    Fax: (214) 484-4111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-06 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-01-20

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
I20040618000252IInternal MedicineTXTBD
I20180120000002IInternal MedicineSDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes304101$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes211109$0
99238Hospital discharge day management, 30 minutes or less163157$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3939$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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Provider's Procedures

SAMUEL R MITZ (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report7059

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: 0143203257View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal Medicine, Interventional CardiologyTX
Family PracticeTX
N E U R O S U R G E R YTX
H O S P I T A L I S TTX
U R O L O G YAL
Diagnostic RadiologyTX
Medical OncologyMO

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Frequently asked questions

What unique ID ties claims to SAMUEL R MITZ (MD)?
NPI 1619948213 is assigned to SAMUEL R MITZ (MD) under the national enumeration system.
Is SAMUEL R MITZ (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SAMUEL R MITZ (MD) treat or focus on?
Patients typically see SAMUEL R MITZ (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for SAMUEL R MITZ (MD)?
We surface Saint Paul, Minnesota for SAMUEL R MITZ (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.