Dr Mitali Chumki Mitra, MD in La Mesa, CA

Dr Mitali Chumki Mitra, MD is a medicare enrolled "Pediatrics" physician in La Mesa, California. Her current practice location is 8530 La Mesa Blvd Ste 200, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 515-2585.

Dr Mitali Chumki Mitra is licensed to practice in California (license number C54133) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598049702.

Contact Information

	Dr Mitali Chumki Mitra, MD
	8530 La Mesa Blvd Ste 200, La Mesa, CA 91942-0966
	(619) 515-2585
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mitali Chumki Mitra
Gender	Female
Speciality	Pediatrics
Location	8530 La Mesa Blvd Ste 200, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598049702
Provider Enumeration Date: 10/06/2011
Last Update Date: 03/30/2026

Medicare PECOS Information:

PECOS PAC ID: 4284905530
Enrollment ID: I20170803003568

Medical Identifiers

Medical identifiers for Dr Mitali Chumki Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598049702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	C54133 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mitali Chumki Mitra allows following entities to bill medicare on her behalf.

Entity Name	East Valley Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831243625 PECOS PAC ID: 9234041765 Enrollment ID: O20050425000560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mitali Chumki Mitra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mitali Chumki Mitra, MD 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300	Dr Mitali Chumki Mitra, MD 8530 La Mesa Blvd Ste 200, La Mesa, CA 91942-0966 Ph: (619) 515-2585

Reviews and Comments

Pediatrics Doctors in La Mesa, CA

Lisa Lew Gabhart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
Li-wen Jen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
John M. Goldenring, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
Sara Susanne Rourke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701
Kristen Leanne Empie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109
Paul Michael Imus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109
Dr. Eric John Meyer Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701

Dr Mitali Chumki Mitra, MD - Medicare Pediatrics in La Mesa, CA