Individual provider Active NPI

Ajay Mitter, MD

  • Hematology & Oncology Physician
  • Galveston, TX
National Provider Identifier
1174587307
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
J8318 Issued in TX
Practice address
1005 Harborside Dr
FL 6
Galveston, TX 77555-0001
Phone
(409) 772-0035
Fax
(409) 747-0707
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 191526 NY
Hematology & Oncology Physician 207RH0003X J8318 TX Primary
Hematology & Oncology Physician 207RH0003X 19239 WV

Addresses

Primary practice location

1005 Harborside Dr
FL 6
Galveston, TX 77555-0001

Mailing address

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (210) 358-5909

Other practice location 1

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5060

Other practice location 2

122 12th St
Princeton, WV 24740-2312
Phone (304) 487-7000

Other practice location 3

1602 Rock Prairie Rd
Ste. 2660
College Station, TX 77845-8306
Phone (979) 694-2984

Other practice location 4

601 E San Antonio St Ste 310E
Victoria, TX 77901-6004
Phone (361) 485-9600

Other practice location 5

2602 Saint Michael Dr Ste 202
Texarkana, TX 75503-5221
Phone (903) 614-5480

Other practice location 6

317 S Manning Blvd Ste 220
Albany, NY 12208-3909
Phone (518) 525-6418

Other practice location 7

1055 Ada St
San Antonio, TX 78223-1703
Phone (210) 358-5515

Other identifiers 4

IdentifierTypeStateIssuer
80563YOtherTXBLUE CROSS
031090601MedicaidTX
143126402MedicaidTX
8F7720OtherTXBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070206000259 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 2264434158 Reassigns benefits to 6 organizations
I20220307002107 NY Practitioner - Medical Oncology 2264434158 Reassigns benefits to 2 organizations
I20221021002053 WV Practitioner - Medical Oncology 2264434158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

1005 Harborside Dr
Suite 1.230
Galveston, TX 77555-0001
Phone (409) 772-2534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191526NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Sep 15, 2020 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Feb 1, 2022 Accepting new patients
Samaritan Hospital of Troy, New York Hematology & Oncology CurrentSince Feb 1, 2022 Accepting new patients
Community Medicine Associates CurrentSince Nov 11, 2022 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jun 15, 2025 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Feb 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Feb 1, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Greater Texas Multispecialty and Oncology PLLC Hematology & Oncology Past Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

317 S Manning Blvd
Ste 220
Albany, NY 12208
Phone (518) 525-6418

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1005 Harborside Dr
Ste 1230
Galveston, TX 77555
Phone (409) 747-4087

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

1005 Harborside Dr
Fl 6
Galveston, TX 77555

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

1055 Ada St
San Antonio, TX 78223
Phone (210) 358-5515

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

2602 Saint Michael Dr
Ste 202
Texarkana, TX 75503
Phone (903) 614-5260

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

605 E San Antonio St
Ste 310E
Victoria, TX 77901
Phone (361) 575-0228

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ajay.mittermd.p1@direct.tpma.nextgenshare.com
  • Direct secure messaging: amitter347499@direct.wvuhsdirect.com
  • Direct secure messaging: amitter1635117@direct.trinity-health.org
  • Direct secure messaging: amitter4551579@nychhc.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1174587307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 49-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-5909",
            "fax_number": "210-358-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DR",
            "address_2": "FL 6",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-772-0035",
            "fax_number": "409-747-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 12th St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402312",
            "country_code": "US",
            "telephone_number": "304-487-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Rock Prairie Rd",
            "address_2": "Ste. 2660",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778458306",
            "country_code": "US",
            "telephone_number": "979-694-2984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E San Antonio St Ste 310E",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016004",
            "country_code": "US",
            "telephone_number": "361-485-9600",
            "fax_number": "361-485-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Saint Michael Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035221",
            "country_code": "US",
            "telephone_number": "903-614-5480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 S Manning Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083909",
            "country_code": "US",
            "telephone_number": "518-525-6418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Ada St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782231703",
            "country_code": "US",
            "telephone_number": "210-358-5515",
            "fax_number": "210-358-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTER",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "191526",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "J8318",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WV",
            "license": "19239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80563Y",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031090601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143126402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8F7720",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "317 S Manning Blvd Ste 220",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.