DR. TITHI MITRA (MD) – Internal Medicine Physician, NPI 1124266366

DR. TITHI MITRA (MD) is a healthcare provider. based in Buffalo, New York. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA09322600 (NJ). The NPI Number for DR. TITHI MITRA (MD) is 1124266366

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. TITHI MITRA (MD)
NPI
1124266366
Phone
(866) 295-0041
Address
PO BOX 8000
Enumeration Date
26 January 2009
Last Update Date
13 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7322642233
Graduation Year
2002 (24 years ago)
PAC ID
0446401350
Group Practice PAC ID
3173801982
Professional Enrollment ID
I20140210001148
Address ID
NJ077301716HA1354X36XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. TITHI MITRA (MD)

  • Buffalo Post Office, 1200, William Street, Seneca Babcock, Buffalo, Erie County, New York, 14206, United States

    DEPT 596

    BUFFALO, NY 142670002

    Phone: (866) 295-0041

    Fax: (732) 557-7109

    Type: Mailing

  • 368, Lakehurst Road, Camelot, Toms River, Ocean County, New Jersey, 08755, United States

    SUITE 207

    TOMS RIVER, NJ 087557339

    Phone: (732) 557-6222

    Fax: (732) 557-6227

    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: 2022-02-14

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
I20140210001148IInternal MedicineNJTBD
I20220214000636IInternal MedicineFLTBD

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 14267)

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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: 3173801982View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
C H I R O P R A C T I CNJ
Occupational Therapist In Private PracticeNJ
Physical Medicine And Rehabilitation, Pain Management, Sports MedicineNJ
Physical Medicine And Rehabilitation, Pain ManagementNJ
Family Practice, Pain ManagementNJ

Reviews

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Frequently asked questions

What identifier follows DR. TITHI MITRA (MD) across health systems?
The NPI 1124266366 uniquely identifies DR. TITHI MITRA (MD) in U.S. healthcare data.
Should I treat DR. TITHI MITRA (MD) as an active provider?
Patients and plans typically see DR. TITHI MITRA (MD) as active in the national extract.
What services align with DR. TITHI MITRA (MD)'s listing?
DR. TITHI MITRA (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TITHI MITRA (MD)?
DR. TITHI MITRA (MD) shows a connection to Buffalo, New York in registry-derived data.
Can I export DR. TITHI MITRA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.