Mariah Salim Mithaiwala, DO - Medicare Emergency Medicine in Dallas, TX

Mariah Salim Mithaiwala, DO is a medicare enrolled "Emergency Medicine" physician in Dallas, Texas. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cep America Llc and her current practice location is 4835 Lbj Fwy Ste 900, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 520-8124.

Mariah Salim Mithaiwala is licensed to practice in Indiana (license number 02005805A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578823324.

Contact Information

Mariah Salim Mithaiwala, DO
4835 Lbj Fwy Ste 900,
Dallas, TX 75244-6001
(972) 520-8124
Not Available

Map and Direction




Physician's Profile

Full NameMariah Salim Mithaiwala
GenderFemale
SpecialityEmergency Medicine
Experience12 Years
Location4835 Lbj Fwy Ste 900, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mariah Salim Mithaiwala attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
  NPI Data:
  • NPI Number: 1578823324
  • Provider Enumeration Date: 05/25/2012
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799001970
  • Enrollment ID: I20191107002759

Medical Identifiers

Medical identifiers for Mariah Salim Mithaiwala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578823324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101019980 (Michigan)Secondary
207P00000XEmergency Medicine Q4470 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program 5101019980 (Michigan)Secondary
207P00000XEmergency Medicine 02005805A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Catherine Hospital IncEast chicago, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America Llc6608056171569

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. Mariah Salim Mithaiwala allows following entities to bill medicare on her behalf.
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285103671
PECOS PAC ID: 6608056171
Enrollment ID: O20190214000611

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. Mariah Salim Mithaiwala 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 AddressPractice Location Address
Mariah Salim Mithaiwala, DO
4835 Lyndon B Johnson Fwy Ste 900,
Dallas, TX 75244-6001

Ph: (214) 460-9268
Mariah Salim Mithaiwala, DO
4835 Lbj Fwy Ste 900,
Dallas, TX 75244-6001

Ph: (972) 520-8124

Reviews and Comments


Emergency Medicine Doctors in Dallas, TX

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Phone: 214-820-2505    Fax: 214-712-2487

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.