SROBONA MITRA (M.D.) – Family Medicine Physician, NPI 1770601353

SROBONA MITRA (M.D.) is a healthcare provider. based in Woodinville, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ML20007916 (WA). The NPI Number for SROBONA MITRA (M.D.) is 1770601353

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SROBONA MITRA (M.D.)
NPI
1770601353
Phone
(206) 849-7273
Address
18625 NE 139TH ST
Enumeration Date
26 March 2007
Last Update Date
9 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4257462400
Graduation Year
2000 (26 years ago)
PAC ID
1052461902
Group Practice PAC ID
0446242242
Professional Enrollment ID
I20090615000509
Address ID
WA980525520RE2103XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for SROBONA MITRA (M.D.)

  • 18625 NE 139TH ST

    WOODINVILLE, WA 980726586

    Phone: (206) 849-7273

    Type: Mailing

  • 1806 W LINCOLN AVE

    YAKIMA, WA 989022473

    Phone: (509) 452-4520

    Fax: (509) 452-5224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,298.

Total Amount is formed as General ($1,298) + Research ($0) + Ownership ($0) = $1,298.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Abbott Laboratories ($309).

Total Amount

$1,298

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2009-06-15

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
I20090615000509IFamily PracticeWATBD

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 98072)

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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: 0446242242View full group profile
NameSpecialtyState
Internal MedicineWA
Internal MedicineWA
Family Practice, Pediatric MedicineWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do I look up SROBONA MITRA (M.D.) by NPI?
Use NPI 1770601353 when you need to reference SROBONA MITRA (M.D.) in forms, claims, or directories.
Does this profile mean SROBONA MITRA (M.D.) is currently active?
Yes — SROBONA MITRA (M.D.) appears active in the national provider directory.
Does SROBONA MITRA (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for SROBONA MITRA (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for SROBONA MITRA (M.D.)?
The page summarizes Woodinville, Washington for SROBONA MITRA (M.D.); expand the address list for detail.
What if Woodinville, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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