Serge Mistivar, D.O
NPI 1609080126 · Family Medicine Physician · Immokalee, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Serge Mistivar, D.O is a Family Medicine Physician provider in Immokalee, FL (NPI 1609080126).
Provider details
- NPI number
- 1609080126
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- License
- 064865 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2015-01-07
Frequently asked questions
- What is Serge Mistivar's NPI number?
- Serge Mistivar's National Provider Identifier (NPI) is 1609080126, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Serge Mistivar's specialty?
- Serge Mistivar is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Serge Mistivar located?
- Serge Mistivar's practice location on file with NPPES is 1454 Madison Ave W, Immokalee, FL 34142-2200.
- What is Serge Mistivar's phone number?
- The practice phone number listed in the NPPES registry for Serge Mistivar is (239) 658-3064.
- Does Serge Mistivar accept Medicare?
- Serge Mistivar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Serge Mistivar's NPI active?
- Yes — Serge Mistivar's NPI (1609080126) is active in the NPPES registry as of the last update on 2015-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.