Matthew Anthony Mittiga, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

259534 Issued in NY

Practice address

117 Business Park Dr
Utica, NY 13502-6303

Phone

(315) 798-1543

Fax

(315) 798-1556

NPI assigned

Jul 18, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmittiga55779@mvhealthsystem.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Slocum Dickson Medical Group PLLC

  • Clinic/Center
  • New Hartford, NY
  • NPI 1285625996
  Medicare reassignment NPD
• Pediatric Service Group

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1770539066
  Medicare reassignment
• Upstate Emergency Medicine, Inc

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1275589582
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1164686192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026303",
            "telephone_number": "315-798-1543",
            "fax_number": "315-798-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026303",
            "telephone_number": "315-798-1543",
            "fax_number": "315-798-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTIGA",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "259534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03332794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edina Mistric
• Tatyana Misyulya, MD
• Natalie Anne Mitchell, M.D
• Windy G Mitchell, RPAC
• Tiffany Mitrakos, M.S.ED.
• Lisa A Mixon
• Leann Mogensen, PHYSICAL THERAPIST
• Taha Mohammad, MD
• Mohawk Hospital Equipment, Inc.
• Mohawk Valley Cardiology PC

• Pediatrics Physician in Utica, NY
• Providers in Utica, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.