Sreedhar Reddy Mitta
NPI 1902455504 · Pediatrics Physician · Carthage, MO
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sreedhar Reddy Mitta is a Pediatrics Physician provider in Carthage, MO (NPI 1902455504).
Provider details
- NPI number
- 1902455504
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4351045516 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-09-05
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Sreedhar Reddy Mitta's NPI number?
- Sreedhar Reddy Mitta's National Provider Identifier (NPI) is 1902455504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sreedhar Reddy Mitta's specialty?
- Sreedhar Reddy Mitta is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Sreedhar Reddy Mitta located?
- Sreedhar Reddy Mitta's practice location on file with NPPES is 2425 Fairlawn Dr, Carthage, MO 64836-3517.
- What is Sreedhar Reddy Mitta's phone number?
- The practice phone number listed in the NPPES registry for Sreedhar Reddy Mitta is (417) 237-0983.
- Does Sreedhar Reddy Mitta accept Medicare?
- Sreedhar Reddy Mitta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sreedhar Reddy Mitta's NPI active?
- Yes — Sreedhar Reddy Mitta's NPI (1902455504) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.