DR. JOSHUA P MITNICK (DPM) – Foot Surgery Podiatrist, NPI 1811006596

DR. JOSHUA P MITNICK (DPM) is a healthcare provider. based in Portland, Oregon. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E5006 (CA). The NPI Number for DR. JOSHUA P MITNICK (DPM) is 1811006596

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA P MITNICK (DPM)
NPI
1811006596
Phone
(503) 652-1121
Address
8305 SE MONTEREY AVE.
Enumeration Date
29 August 2006
Last Update Date
24 October 2023

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8317288844
Graduation Year
2004 (22 years ago)
PAC ID
6709884802
Group Practice PAC ID
0345329686
Professional Enrollment ID
I20061128000572
Address ID
CA950766055WA47XXXLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

213 PODIATRY in OR

Provider Addresses for DR. JOSHUA P MITNICK (DPM)

  • 8305 SE MONTEREY AVE.

    #101

    PORTLAND, OR 97266

    Phone: (503) 652-1121

    Fax: (503) 652-2193

    Type: Mailing

  • 8305 SE Monterey Ave.

    #101

    Portland, OR 97266

    Phone: (503) 652-1121

    Fax: (503) 652-2193

    Type: Location

  • 47 PENNY LN STE 1

    WATSONVILLE, CA 950766055

    Phone: (831) 728-8844

    Fax: (831) 763-7001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Alafair Biosciences, Inc. ($177).

Total Amount

$197

General + Research + Ownership

Payments

3

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

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: 2006-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20061128000572IPodiatryCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes911438$0
11721Removal of fingernails or toenails, 6 or more nails807377$0
11056Removal of noncancer thickened skin growth, 2-4 growths320153$0
99203New patient office or other outpatient visit, 30-44 minutes241241$0
11720Removal of fingernails or toenails, 1-5 nails206115$0
View full utilization report →

Insurance plans in this area (ZIP 97266)

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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: 0345329686View full group profile
NameSpecialtyState
P O D I A T R YCA
P O D I A T R YCA
Podiatry, Preventive MedicineCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YVA
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YME

Reviews

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Frequently asked questions

What identifier follows DR. JOSHUA P MITNICK (DPM) across health systems?
The NPI 1811006596 uniquely identifies DR. JOSHUA P MITNICK (DPM) in U.S. healthcare data.
Is DR. JOSHUA P MITNICK (DPM)'s NPI status active today?
Active status means DR. JOSHUA P MITNICK (DPM)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. JOSHUA P MITNICK (DPM)?
NPPES ties DR. JOSHUA P MITNICK (DPM) to Foot Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JOSHUA P MITNICK (DPM) in Portland, Oregon?
For routing, start with Portland, Oregon for DR. JOSHUA P MITNICK (DPM), then verify phone and hours locally.
Who maintains DR. JOSHUA P MITNICK (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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